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Renal Angiomyolipomas in the University of Malaya Medical Centre: Its Spectrum of Presentation and Management

Koh, P.S., and Muhilan P., and Dublin, N., and Razack A.H., (2009) Renal Angiomyolipomas in the University of Malaya Medical Centre: Its Spectrum of Presentation and Management. Journal of the University of Malaya Medical Centre (JUMMEC), 12 (1). pp. 39-43. ISSN 1823-7339

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Official URL: http://jummec.um.edu.my

Affiliations

University of Malaya, Faculty of Medicine. Dept. of Surgery,
University of Malaya, Faculty of Medicine. Dept. of Surgery
University of Malaya, Faculty of Medicine. Dept. of Surgery
University of Malaya, Faculty of Medicine. Dept. of Surgery

Abstract

Renal angiomyolipoma, once considered a rare benign renal tumour, is relatively common these days. They account for 0.3-3.0% of all renal masses. Histologically, it is composed of adipose tissue, smooth muscles and blood vessels. Here, we wish to highlight five cases of renal angiomyolipomas which were presented to the University Malaya Medical Centre (UMMC), Kuala Lumpur, Malaysia, over a two-year period between June 2005 and June 2007. This study wish to illustrate its varied clinical presentation and the management undertaken for each underlying condition. These cases were presented in the form of spontaneous perirenal haemorrhage, a large asymptomatic renal mass, a small asymptomatic renal mass, a symptomatic renal angiomyolipoma and a case of renal angiomyolipoma mimicking a renal tumour. Each of these cases varied in its clinical presentation; thus, management has become very challenging to clinicians ranging from conservative management to active intervention, be it operatively or non-operatively.

Item Type:Journal
Keywords:Angiomyolipoma, Spontaneous perirenal haemorrhage, Benign renal tumour, Renal mass
Subjects:R Medicine, Dentistry, Pharmacy, Nursing
ID Code:8574

1. Badrinath RK, Dreicer R, Williams R. Renal Parenchymal Neoplasms. In: Tanagho EA, McAninch JW. ed. Smtihs Urology, 16th ed. Lange; 2004: 346-347.

2. Nelson CP, Sanda M. Contemporary diagnosis and management of renal angiomyolipoma. J Urol 2002;168:1315-1325.

3. Hajdu SI, Foote FW. Angiomyolipoma of the kidney: a report of 27 cases and review of literature. J Urol 1969; 102: 396-401.

4. Kothary N, Soulen MC, Clark TWI, et al. Renal angiomyolipoma: long term results after arterial embolization. J Vasc Interv Radiol 2005; 16:45-50.

5. Chandrasoma SB, Moatamed N, Chang A, et al. Angiomyolipoma of the kidney: expanding disease spectrum demonstrated by 3 cases. Appl Immunohistochem Molecul Morphol Sep 2004; 12(3): 277-283.

6. Gomez MR. Phenotypes of the tuberous sclerosis complex with a revision of diagnostic criteria. Ann NY Acad Sci 1991; 615: 1.

7. Siegel CL, Middleton W, Teefey SA, et al. Angiomyolipoma and renal cell carcinomas: US differentiation. Radiology 1996; 198: 789.

8. Silverman SG, Pearson GD, Seltzer SE, et al. Small hyperechoic renal masses: comparison of helical and convention CT for diagnosing angiomyolipoma. Am J Roentgenol 1996; 167: 877.

9. Bret PM, Breatnolle M, Gaillard D, et al. Small asymptomatic angiomyolipomas of the kidney. Radiology 1985; 154: 7.

10. Frago PS, Camison CDAA, Sanz MJG, et al. Controversies related to epithelioid variant of renal angiomyolipoma: a review of literature. Urology 2006; 67: 846.

11. Kawaguchi K, Oda Y, Nakanishi K, et al. Malignant transformation of renal angiomyolipoma: a case report. Am J Surg Pathol April 2002; 26: 523-529.

12. Ashfaq R, Weinberg AG, Albores-Saavedra J, et al. Renal angiomyolipoma and HMB 45 reactivity. Cancer 1993; 71: 3091-3097.

13. L’Hostis H, Deminiere C, Ferriere JM, et al. Renal angiomyolipoma: a clinicopathologic, immunohistochemical and follow-up study of 46 cases. Am J Surg Pathol Sep 1999; 23(9): 1011.

14. Zhang JQ, Fielding JR., Zou, KH. Etiology of spontaneous perirenal hemorrhage: A meta-analysis. J Urol April 2002; 167: 1593-1596.

15. Daskalapoulos G, et al. Spontaneous peririenal hemorrhage: a 10 year experience at our institution. Int Urol Nephr 2004; 3: 15-19.

16. Oesterling JE, Fishman EK, Goldman SM, et al. The management of renal angiomyolipoma. J Urol, 1986; Vol 135: 1121.

17. Minervini A, Giubilei G, Masieri L, et al. Simple enucleation for the treatment of renal angiomyolipoma. BJU Int 2007; 99: 887-891.

18. Gibbs P, Coughlin G, Davies M, et al. Management of angiomyolipoma in a single centre. BJU Int 2007; 99: 11.

19 De Luca S, Terrone C, Rosetti SR. Management of renal angiomyolipoma: a report of 53 cases. BJU Int 1999; 83(3): 215-218.

20 Maffezzini M, Vlassopolous G, Simonato A, et al. Renal angiomyolipoma with extrarenal involvement in vascular, lymph node and perirenal tissue. Report of four cases.

Scand J Urol & Nephr 1995; 29(3): 327-329.

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