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Giant bilateral renal angiomyolipomas: a case report
Francesca Maria Cavicchioli1, Carolina D'Elia, Maria Angela Cerruto
1Urology Clinic, AOUI Verona, Verona, Italy.
Urologia Internationalis
|November 7, 2013
Summary
Giant angiomyolipoma (AML) management can involve conservative treatment. Active surveillance is a viable option for patients with large renal AMLs, even in complex cases.
Area of Science:
- Nephrology
- Oncology
- Radiology
Background:
- Angiomyolipoma (AML) is a rare mesenchymal renal tumor.
- AMLs can present with significant, life-threatening complications.
- Management of giant AMLs requires careful consideration.
Observation:
- A 50-year-old male presented with bilateral giant renal masses.
- Imaging revealed large masses (left: 27.5x19.5x21 cm, right: 28.5x19.6x27.5 cm).
- Biopsy was suggestive of AML; MRI confirmed no other pathology.
Findings:
- The patient was managed with a conservative approach.
- A strict surveillance protocol with MRI every 4-5 months was implemented.
- The patient remained asymptomatic with normal renal function at follow-up.
Implications:
- Conservative management and active surveillance are feasible for giant renal AMLs.
- This approach can be a valid option for patients, even with large tumors.
- Careful monitoring is crucial for patients undergoing surveillance for renal AML.
