A 50-year-old healthy farmer was seen for his annual medical by his GP. His family history was significant for breast cancer in his sister. After discussion about risks and benefits of prostate cancer screening he had a digital rectal examination (DRE) which revealed a small firm nodule.

With an increase in use of cross sectional imaging small incidentally detected renal tumors are a common scenario in general practice. In a patient without multiple co-morbidities surgical treatment of the tumour offers definitive curative treatment.