Presentation Incidental finding in over 50% [Novick 1999] Haematuria Loin Pain Palpable Mass Classical Triad of haematuria, loin pain, mass in 10% Paraneoplastic syndromes Hypercalcaemia (PTHrP) – seen in approximately 25% Anaemia Hyponatraemia Raised ESR Polycythaemia may be associated with inceased response to IFN Stauffer’s syndrome Abnormal LFTs Hepatic necrosis Thrombocytopenia Neutropenia...