Jardin A, Richard F, Le Duc A, Chatelain C, Le Guillou M, Fourcade R, Camey M, Küss R
Eur Urol. 1980;6(2):69-82. doi: 10.1159/000473296.
Angiomyolipoma should be suspected when a renal tumor is present especially when the patient is young, the tumor is bilateral, associated with hemorrhagic incidents or if there are multiple tumors in one kidney. When tuberous sclerosis is present the diagnosis is easier and when it is not, arteriography and tomodensitometry are of great help. The benign nature of these tumors is not an argument in favor of nonsurgical treatment. They may sometimes be associated with an authentic malignancy which underlines the necessity of confirming the diagnosis by peroperative examination of a frozen section. When angiomyolipoma is confirmed the surgical treatment of this benign tumor should, in our opinion, be conservative considering the frequency of bilateral disease. This approach is supported by the results published and by our own 8 cases treated by conservative surgery.
当存在肾肿瘤时，尤其是患者年轻、肿瘤为双侧、伴有出血事件或一侧肾脏有多个肿瘤时，应怀疑血管平滑肌脂肪瘤。当存在结节性硬化症时，诊断较容易；若不存在，则血管造影和计算机断层密度测定法很有帮助。这些肿瘤的良性性质并非支持非手术治疗的理由。它们有时可能与真正的恶性肿瘤相关，这突出了通过术中冰冻切片检查来确诊的必要性。当确诊为血管平滑肌脂肪瘤时，我们认为，鉴于双侧病变的发生率，对这种良性肿瘤的手术治疗应采取保守方法。已发表的结果以及我们自己采用保守手术治疗的8例病例均支持这种方法。
