Renal complicated angiomyolipoma: discussion of diagnosis and management

ABSTRACT

Background: Angiomyolipoma (AML) is a benign renal neoplasm. Patients were often hospitalized in two situations Renal AML unilateral or AML with Tuberous Sclerosis Complex. Objectives: To discover prospectively the clinical symptoms and evaluate the therapeutic of 5 renal angiomyolipoma unilateral operated in Viet Duc and Huu Nghi hospital from 2004 January to 2006 April. Subject and Methods: The record of 3 men and 2 women with a mean age of 46.2 years (maximum 86, minimum 32); flank pain 3 patients, heamaturia 2 patients. The mean lesion diameter was 7.9cm (minimum 5.4 cm, maximum 12cm). The mean follow up was 6.6 months. Result: All of the patients symptomatic with a mean giant diameter (7.9cm). One patient was operated on urgently, because of a tumor rupture post-traumatism. Two patients were operated on as diagnostic doubt. Conclusion: Renal angiomyolipomas are almost benign. Total nephrectomy on the size of tumor, their complications and the special conditions.