title: Management of renal angiomyolipoma: a report of 14 cases and review of the literature. Is nonsurgical treatment adequate for this tumor?
abstract: 14 patients with renal angiomyolipoma are presented. Two of them had tuberous sclerosis (TS) with synchronous bilateral and multiple tumors. Two other patients without TS also had multiple tumors in 1 kidney. More than half the patients were symptomatic (n = 8), 2 of them with spontaneous rupture of the tumor. Misdiagnosis, spontaneous rupture and tumor growth can be prevented by utilizing conservative, organ-sparing techniques. In cases of solitary kidneys with large and/or hemorrhagic angiomyolipoma, superselective arterial embolization is indicated.
authors.affiliation: Department of Urology, Johannes Gutenberg University Medical School, Mainz, FRG.
authors.forename: H
authors.initials: H
authors.lastname: Koike
authors.forename: S C
authors.initials: SC
authors.lastname: Müller
authors.forename: R
authors.initials: R
authors.lastname: Hohenfellner
mesh_terms: D000328:Adult; D018207:Angiomyolipoma / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D002292:Carcinoma, Renal Cell / Q000628:therapy; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000453:epidemiology / Q000209:etiology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D009378:Neoplasms, Multiple Primary / Q000628:therapy; D009392:Nephrectomy; D012422:Rupture, Spontaneous; D017678:Sex Distribution; D014402:Tuberous Sclerosis / Q000150:complications