scholarly journals Total nephrectomy with nephron-sparing surgery for a giant bilateral renal angiomyolipoma: A case report

2015 ◽  
Vol 10 (4) ◽  
pp. 2450-2452
Author(s):  
YIHONG ZHOU ◽  
YUXIN TANG ◽  
JIN TANG ◽  
FEI DENG ◽  
YU GAN ◽  
...  
2011 ◽  
Vol 60 (3) ◽  
pp. 591-594 ◽  
Author(s):  
Luca Cindolo ◽  
Francesco Berardinelli ◽  
Roberto Bellocci ◽  
Luigi Schips

2014 ◽  
Vol 2014 ◽  
pp. 1-8 ◽  
Author(s):  
Adrien Riviere ◽  
Thomas Bessede ◽  
Jean-Jacques Patard

Introduction. Angiomyolipoma is a common benign renal tumor. It is associated with Tuberous Sclerosis Complex (TSC) in 20% of patients. Angiomyolipomas are classically multiple, bilateral, and growing; they may lead to complications such as Wunderlich syndrome or, in rare cases, to venous extension.Observation. a 74-year-old woman with TSC presented with an angiomyolipoma of the right kidney with inferior vena cava (IVC) fatty thrombus. She underwent partial nephrectomy and thrombectomy. After a 7-year follow-up there was no evidence of recurrence or metastasis and her renal function was preserved.Review of Literature. It is the 44th reported angiomyolipoma associated with IVC thrombus. The mean size of angiomyolipomas was 86.1 mm and 67.4% of patients were symptomatic. Pulmonary embolism was found in 6 patients. There were 2 cases of recurrence/metastatic outcome after radical nephrectomy and thrombectomy. They were associated with epithelioid form. The mean size of epithelioid tumors was significantly bigger than in classical angiomyolipomas (127.1 mm versus 82.6 mm,P=0.037). With a median follow-up of 12 months, 91.3% of patients were recurrence and metastasis free, with 3 cases of nephron sparing surgery.Conclusion. Nephron sparing surgery for angiomyolipoma with IVC fatty thrombus can be safely performed in TSC, even in sporadic angiomyolipoma.


2019 ◽  
Vol 6 (2) ◽  
pp. 148-151
Author(s):  
Nejdet Karşıyakalı ◽  
Uğur Yücetaş ◽  
Hüseyin Aytaç Ateş ◽  
Sevim Baykal Koca ◽  
Ceyda Turan Bektaş ◽  
...  

2019 ◽  
Vol 5 (1) ◽  
pp. 7-9
Author(s):  
Lorenzo Masieri ◽  
Francesco Sessa ◽  
Chiara Cini ◽  
Maurizio Sessa ◽  
Davide Vanacore ◽  
...  

2003 ◽  
Vol 58 (2) ◽  
pp. 103-108 ◽  
Author(s):  
Edison Daniel Schneider-Monteiro ◽  
Antonio Marmo Lucon ◽  
André Avarese de Figueiredo ◽  
Aldo Junqueira Rodrigues Junior ◽  
Sami Arap

OBJECTIVE: To report a case of bilateral giant renal angiomyolipoma associated with tuberous sclerosis, with successful treatment, and to review the literature concerning angiomyolipoma treatment. CASE REPORT: Patient with tuberous sclerosis and angiomyolipoma diagnosed by ultrasonography during her pregnancy. At that time, the angiomyolipoma on the right side was 9 cm in diameter. Conservative management was selected during her pregnancy. The patient returned 7 years later, with a 24.7 x 19.2 x 10.7 cm tumor on the right side and another of 13 x 11.5 x 6.5 cm on the left side, in addition to multiple small angiomyolipomas. A nephron-sparing surgery with tumoral enucleation was performed on the right side, and after 3 months, the tumor on the left side was removed. Renal function in the post-operative period was preserved, and contrast medium progression was uniform and adequate in both kidneys. CONCLUSION: We conclude that an angiomyolipoma larger than 4 cm should be removed surgically, since they have a greater growth rate and pose a risk of hemorrhage. Resection of smaller tumors is safe and has decreased morbidity. Tumoral enucleation is an effective treatment method that preserves kidney function.


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