Presenting features
- General / primary
- Weight loss, cachexia
- Mass in loin
- New varicocoele on left (as left gonadal vein is longer and thus more easily compressed)
- Secondary
- Paraneoplastic manifestations
Investigations
- Urine dipstick
- FBC, LFTs
- Imaging: USS / CT
- CXR: cannonball pulmonary metastases