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[Dilemma in the treatment of angiomyolipoma]
O Ikari1, C A D'Ancona, A Prando
1Disciplina de Urología, Facultad de Ciencias Médicas, Universidade Estadual de Campinas, Brasil. osamu@correionet.com.br
Objective:
To present our experience with renal angiomyolipoma.
Methods:
The series comprised 27 patients (26 female, 1 male) with renal angiomyolipoma. Twenty-three (85%) had unilateral renal involvement and of the 4 remaining patients (15%) with bilateral involvement, three (10%) had tuberous sclerosis.
Results:
Due to the complications, three patients with bilateral and one patient with unilateral renal involvement required surgery. Mean patient follow-up was 38 months.
Conclusions:
Surgery is warranted in patients with tumors of more than 4 cm, symptomatic or associated with tuberous sclerosis. Regular control evaluation is indicated for tumors less than 4 cm.