Renal oncocytomas are uncommon benign tumours that have recently been recognized as a unique pathological entity. These lesions may attain considerable size; however, most present as an asymptomatic incidental finding. Although usually solitary, these tumours are occasionally multicentric or bilateral at presentation. Retrospective studies suggest that oncocytoma may account for up to 5% of turnours previously classified as well‐differentiated renal cell carcinoma. At present, conservative management is hampered by difficulty in establishing a confident pre‐operative or intra‐operative diagnosis. A case of bilateral asymptomatic renal oncocytoma is presented, and the implications of this lesion for the management of renal tumours is discussed.
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