DOI: http://dx.doi.org/10.18203/2349-2902.isj20215160

A giant renal angiomyolipoma: a rare case report and review of literature

Girish D. Bakhshi, Rajalakshmi Venkateswaran, Aishwarya Sunil Dutt, Sushrut Baligar, Madhu Jha

Abstract


Renal angiomyolipomas (AMLs) are the most common benign tumours of the kidney that occur sporadically in 80% of the patients and are seen associated with genetic conditions such as tuberous sclerosis in rest of the patients. The diagnosis of renal AML pre-operatively have been made easier with the advent of good imaging modalities. The management of these tumours depends on factors such as size, clinical presentation, extent of parenchymal involvement and ranges from a wait and watch strategy to a radical nephrectomy. Herewith, we reported of a giant renal AML who presented with complaints of lump in abdomen with headache and palpitations. She was diagnosed to have a giant renal AML on imaging. The patient was managed with radical nephrectomy after renal AML. A brief case report with review literature was presented here.


Keywords


Giant renal angiomyolipoma, Renal angioembolization, Radical nephrectomy

Full Text:

PDF

References


Vos N, Oyen R. Renal angiomyolipoma: the good, the bad, and the ugly. J Belgian Soc Radiol. 2018;102(1).

Chen P, Jin L, Yang Y, Chen Z, Ni L, Yang S, et al. Giant renal angiomyolipoma: a case report. Mol Clinic Oncol. 2017;7(2):298-300.

Fittschen A, Wendlik I, Oeztuerk S, Kratzer W, Akinli AS, Haenle MM, et al. Prevalence of sporadic renal angiomyolipoma: a retrospective analysis of 61,389 in-and out-patients. Abdomin Imaging. 2014;39(5):1009-13.

Jou YC, Chen WP, Huang CL. Urgent angioembolization with early elective nephron-sparing surgery for spontaneously ruptured renal angiomyolipoma. J Chinese Med Assoc. 2009;72(8):450-2.

Faddegon S, So A. Treatment of angiomyolipoma at a tertiary care centre: the decision between surgery and angioembolization. Canadian Urologic Assoc J. 2011;5(6):138

Schwartz MJ, Smith EB, Trost DW, Vaughan ED. Renal artery embolization: clinical indications and experience from over 100 cases. BJU Int. 2007;99(4):881-6.

Fernández-Pello S, Hora M, Kuusk T, Tahbaz R, Dabestani S, Abu-Ghanem Y, et al. Management of sporadic renal angiomyolipomas: a systematic review of available evidence to guide recommendations from the European Association of Urology Renal Cell Carcinoma Guidelines Panel. Eur Urol Oncol. 2020;3(1):57-72.

Luo Y, Hou G, Lu M, Chen M, Hu C, Di J. Unclamped nephron-sparing surgery with preoperative selective arterial embolization for the management of bilateral giant renal angiomyolipomas. Clinic Genitourin Cancer. 2014;12(3):111-4.

Zielinski H, Syrylo T, Szmigielski S. Renal artery embolization in treatment of renal cancer with emphasis on response of immune system. Renal Tumor. 2013:95-108.

Tang B, Ji T, Guo W, Tang X, Jin L, Dong S, et al. Which is the better timing between embolization and surgery for hypervascular spinal tumors, the same day or the next day? A retrospective comparative study. Medicine. 2018;97(23).

Taneja R, Singh DV. Giant renal angiomyolipoma: Unusual cause of huge abdominal mass. J Clinic Imaging Sci. 2013;3.

Zhou Y, Tang Y, Tang J, Deng F, Gan YU, Dai Y. Total nephrectomy with nephron-sparing surgery for a giant bilateral renal angiomyolipoma: a case report. Oncol Letter. 2015;10(4):2450-2.

Park BK. Renal angiomyolipoma: radiologic classification and imaging features according to the amount of fat. Am J Roentgenol. 2017;209(4):826-35.

Nepple KG, Bockholt NA, Dahmoush L, Williams RD. Giant renal angiomyolipoma without fat density on CT scan: case report and review of the literature. Scientif World J. 2010;10:1334-8.

Alshehri M, Hakami B, Aljameel N, Alayyaf M, Raheem AA. Sporadic giant renal angiomyolipoma: A case report and literature review of clinical presentation, diagnosis, and treatment options. Urol Ann. 2020;12(2):167.