Gowda Ganesh Govinda, Tigga Maureen, Ramesh Ravikumar Banavase
JSS Medical College & Hospital, Mysore, Karnataka, India.
J Vasc Bras. 2023 Aug 28;22:e20200067. doi: 10.1590/1677-5449.202000672. eCollection 2023.
Renal angiomyolipoma is a benign and progressive tumor consisting of smooth muscle, fat, and vascular elements and is commonly associated with the tuberous sclerosis complex. Bilateral occurrence is rare and recent evidence suggest strong tumor positivity to female hormones with enlargement during pregnancy and oral contraceptive therapy. Treatment varies from a minimally invasive approach with selective embolization of the renal artery to partial nephrectomy or sometimes even radical nephrectomy. Presented here is a case of bilateral renal angiomyolipoma in 50-year-old lady who was successfully treated with super-selective embolization.
肾血管平滑肌脂肪瘤是一种由平滑肌、脂肪和血管成分组成的良性进展性肿瘤，通常与结节性硬化症相关。双侧发病罕见，最近有证据表明该肿瘤对女性激素反应强烈，在妊娠和口服避孕药治疗期间会增大。治疗方法从肾动脉选择性栓塞的微创方法到部分肾切除术，有时甚至是根治性肾切除术不等。本文介绍了一例50岁女性双侧肾血管平滑肌脂肪瘤患者，通过超选择性栓塞成功治愈。
