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.

Angiomiolipoma gigante del rene non associato a sclerosi tuberosa : presentazione di un caso clinico e revisione della letteratura / V. Panizzo, G. Goi, E. Moroni, G. Micheletto, B. Bruni, P.G. Danelli. - In: CHIRURGIA ITALIANA. - ISSN 0009-4773. - 61:4(2009 Jul), pp. 507-513.

Angiomiolipoma gigante del rene non associato a sclerosi tuberosa : presentazione di un caso clinico e revisione della letteratura

G. Micheletto;P.G. Danelli
2009-07

Abstract

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.
angiomiolipoma renale ; sclerosi tuberosa ; nefrectomia
Settore MED/18 - Chirurgia Generale
Article (author)
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Utilizza questo identificativo per citare o creare un link a questo documento: http://hdl.handle.net/2434/66301
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