[Dilemma in the treatment of angiomyolipoma].
OBJECTIVE
To present our experience with renal angiomyolipoma.


METHODS
The series comprised 27 patients (26 female, 1 male) with renal angiomyolipoma. Twenty-three (85%) had unilateral renal involvement and of the 4 remaining patients (15%) with bilateral involvement, three (10%) had tuberous sclerosis.


RESULTS
Due to the complications, three patients with bilateral and one patient with unilateral renal involvement required surgery. Mean patient follow-up was 38 months.


CONCLUSIONS
Surgery is warranted in patients with tumors of more than 4 cm, symptomatic or associated with tuberous sclerosis. Regular control evaluation is indicated for tumors less than 4 cm.
Ikari
O
O
Disciplina de Urología, Facultad de Ciencias Médicas, Universidade Estadual de Campinas, Brasil. osamu@correionet.com.br
D'Ancona
C A
CA
Prando
A
A
Netto Júnior
N R
NR
D000293:Adolescent; D000328:Adult; D000368:Aged; D018207:Angiomyolipoma / Q000601:surgery*; D002648:Child; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D008297:Male; D008875:Middle Aged