title: [Non-ischemic tumor enucleation for renal angiomyolipoma: a case report].
abstract: A case of renal angiomyolipoma, successfully treated with non-ischemic tumor enucleation, is reported. A 16-year-old Japanese female visited another hospital with a chief complaint of general fatigue. She was diagnosed with angiomyolipoma of the right kidney, 7 cm in the long axis, which developed exteriorly at the lower pole. A nephrectomy was recommended. The patient visited us for a second opinion. We judged that nephron-sparing surgery was applicable to this case. The patient underwent non-ischemic tumor enucleation using a microwave tissue coagulator via retroperitoneal approach. The patient was discharged from our hospital 9 days after the surgery. Since a preoperative diagnosis with renal angiomyolipoma can be obtained relatively easily, maximum efforts for nephron-sparing surgery should be made.
authors.affiliation: Department of Urology, Nara Prefectural Nara Hospital.
authors.forename: Katsuya
authors.initials: K
authors.lastname: Aoki
authors.forename: Akira
authors.initials: A
authors.lastname: Yamaguchi
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Shimizu
authors.forename: Akihide
authors.initials: A
authors.lastname: Hirayama
authors.forename: Yoshihisa
authors.initials: Y
authors.lastname: Fukui
authors.forename: Shoji
authors.initials: S
authors.lastname: Samma
mesh_terms: D000293:Adolescent; D018207:Angiomyolipoma / Q000601:surgery*; D004564:Electrocoagulation; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000601:surgery*; D008872:Microwaves / Q000627:therapeutic use; D009392:Nephrectomy / Q000379:methods*