Management of Renal Angiomyolipomas in Tuberous Sclerosis: A Case Series

Renal angiomyolipomas, benign tumors composed of blood vessels, adipose tissue, and smooth muscle, affect approximately 70% to 80% of patients with tuberous sclerosis. Angiomyolipomas smaller than 4 cm are usually asymptomatic, whereas larger ones can cause lumbar pain, anemia, and hematuria. Contra...

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Main Authors: Ganesh G Gowda, Maureen Prativa Tigga, Rashmi Hosahalli Sreenath
Format: Article
Language:English
Published: Medrang 2024-12-01
Series:Vascular Specialist International
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Online Access:http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.240039
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author Ganesh G Gowda
Maureen Prativa Tigga
Rashmi Hosahalli Sreenath
author_facet Ganesh G Gowda
Maureen Prativa Tigga
Rashmi Hosahalli Sreenath
author_sort Ganesh G Gowda
collection DOAJ
description Renal angiomyolipomas, benign tumors composed of blood vessels, adipose tissue, and smooth muscle, affect approximately 70% to 80% of patients with tuberous sclerosis. Angiomyolipomas smaller than 4 cm are usually asymptomatic, whereas larger ones can cause lumbar pain, anemia, and hematuria. Contrary to its sporadic counterparts, tuberous sclerosis-associated angiomyolipomas often present at a young age, are multicentric and large, and carry a higher risk of life-threatening hemorrhage. Therapeutic strategies include selective tumor embolization, nephrectomy for severe cases, and medical treatment such as everolimus. Despite a correlation between tuberous sclerosis and renal angiomyolipomas and their described high complication rates in literature, disease awareness in clinical practice remains low. This case series describes the management and outcomes of three patients with tuberous sclerosis-associated renal angiomyolipomas treated with selective arterial embolization.
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spelling doaj-art-94b95baff8c64f0e981048b29a744e982024-12-16T02:02:42ZengMedrangVascular Specialist International2288-79702288-79892024-12-014010.5758/vsi.240039vsi.240039Management of Renal Angiomyolipomas in Tuberous Sclerosis: A Case SeriesGanesh G Gowda0Maureen Prativa Tigga1Rashmi Hosahalli Sreenath2Department of Vascular Surgery, JSS Academy of Higher Education and Research, Mysuru, IndiaDepartment of Obstetrics and Gynecology, JSS Academy of Higher Education and Research, Mysuru, IndiaDepartment of Obstetrics and Gynecology, JSS Academy of Higher Education and Research, Mysuru, IndiaRenal angiomyolipomas, benign tumors composed of blood vessels, adipose tissue, and smooth muscle, affect approximately 70% to 80% of patients with tuberous sclerosis. Angiomyolipomas smaller than 4 cm are usually asymptomatic, whereas larger ones can cause lumbar pain, anemia, and hematuria. Contrary to its sporadic counterparts, tuberous sclerosis-associated angiomyolipomas often present at a young age, are multicentric and large, and carry a higher risk of life-threatening hemorrhage. Therapeutic strategies include selective tumor embolization, nephrectomy for severe cases, and medical treatment such as everolimus. Despite a correlation between tuberous sclerosis and renal angiomyolipomas and their described high complication rates in literature, disease awareness in clinical practice remains low. This case series describes the management and outcomes of three patients with tuberous sclerosis-associated renal angiomyolipomas treated with selective arterial embolization.http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.240039tuberous sclerosisrenal angiomyolipomaembolization
spellingShingle Ganesh G Gowda
Maureen Prativa Tigga
Rashmi Hosahalli Sreenath
Management of Renal Angiomyolipomas in Tuberous Sclerosis: A Case Series
Vascular Specialist International
tuberous sclerosis
renal angiomyolipoma
embolization
title Management of Renal Angiomyolipomas in Tuberous Sclerosis: A Case Series
title_full Management of Renal Angiomyolipomas in Tuberous Sclerosis: A Case Series
title_fullStr Management of Renal Angiomyolipomas in Tuberous Sclerosis: A Case Series
title_full_unstemmed Management of Renal Angiomyolipomas in Tuberous Sclerosis: A Case Series
title_short Management of Renal Angiomyolipomas in Tuberous Sclerosis: A Case Series
title_sort management of renal angiomyolipomas in tuberous sclerosis a case series
topic tuberous sclerosis
renal angiomyolipoma
embolization
url http://www.vsijournal.org/journal/view.html?doi=10.5758/vsi.240039
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