[Diagnosis and treatment of renal angiomyolipoma].
We have hitherto reported 6 cases of renal angiomyolipoma. Recently, we encountered two more such cases. Case 1 is a 34-year-old woman with fever as the chief complaint. DIP revealed a tumor mass in the right upper pelvic pole. This mass showed a strong echo level on ECHO and adipose tissue of low density on CT scan. Therefore, the patient was diagnosed as having renal angiomyolipoma. Since liposarcoma was not ruled out by the examination of frozen sections during operation, nephrectomy was performed. Case 2 is a 40-year-old woman. Diagnosed as having bilateral renal angiomyolipoma, she underwent right nephrectomy 14 years ago. Two years ago, she had heavy hematuria, and had embolization of the left renal artery. She has had no bleeding since the embolization. We are of the view that ECHO and CT can are very useful for diagnosis of renal angiomyolipoma, and embolization for heavy hematuria, a complication, should be performed first of all.
D000328:Adult; D004621:Embolization, Therapeutic; D005260:Female; D006391:Hemangioma / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging; D007680:Kidney Neoplasms / Q000175:diagnosis* / Q000628:therapy; D008067:Lipoma / Q000175:diagnosis* / Q000628:therapy; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography