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[Renal angiomyolipoma with marked extrarenal development: a case report]
K Yamamoto1, H Iwasaki, T Nakanouchi
1Department of Urology, Kyoto Prefectural University of Medicine.
Hinyokika Kiyo. Acta Urologica Japonica
|December 10, 1999
Abstract:
A 28-year-old female complained of minimal fever elevation. Computed tomography (CT) revealed a left renal tumor of 10 cm in diameter. Ultrasonogram and CT, magnetic resonance imaging and angiography suggested a renal angiomyolipoma (AML) with marked extrarenal development. Partial nephrectomy was performed using a microwave tissue coagulater without clamping of the renal artery. The tumor weight was 800 g and the pathological diagnosis was AML. The management of large AML is reviewed in the literature. Nephron sparing surgery should be performed even in patients who have a larger tumor with extrarenal development.