[Giant angiomyolipoma of the kidney not associated with tuberous sclerosis: a case report and review of the literature].
The authors describe a paradigmatic case of a large renal angiomyolipoma not associated with tuberous sclerosis. The lesion was discovered as an incidental finding during abdominal ultrasound for other pathology. Owing to the extent of the lesion and the appreciable risk of spontaneous rupture and bleeding, we opted for surgical treatment. The impossibility of dissecting the angiomyolipoma from the right kidney obliged us to perform a nephrectomy. The clinical interest of angiomyolipoma is in its rapid growth, the difficulty of distinguishing it from malignant lesions, the association with tuberous sclerosis, the presence of numerous aspecific symptoms and the difficulty of establishing the correct diagnosis and treatment strategy.
U.O.C. di Chirurgia Generale dell'Istituto Clinico Sant'Ambrogio di Milano, Cattedra di Chirurgia Generale, Università degli Studi di Milano.
Valerio
V
Panizzo
Gloria
G
Goi
Eliana
E
Moroni
Giancarlo
G
Micheletto
Barbara
B
Bruni
Piergiorgio
P
Danelli
D018207:Angiomyolipoma / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D007680:Kidney Neoplasms / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D014402:Tuberous Sclerosis