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Having Angiomyolipomas. Cure? Removing Kidney Is The Only Option?

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Posted on Tue, 25 Jun 2013
Question: Dear Dr,
Good Afternoon , This is XXXXX From bajaj Allianz General insurance co ltd - erode(1504) , i want to consult Kidney related query ,

we have consulted 4 or 5 Specialist , but all are Said kidney removing only solution for this Disease ,

i need clarification for cure this disease without removing the kidney , kindly suggest
doctor
Answered by Dr. Ravi Bansal (37 minutes later)
Hi XXXXXX,

There are no attached documents in your post,
Kindly resend the documents.

will review and advice.

thanks
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ravi Bansal (4 minutes later)
Dear Dr,

Reports attached for our kind Reference
doctor
Answered by Dr. Ravi Bansal (7 hours later)
Hi XXXXXX,

Angiomyolipomas of the kidneys are Kidney tumors made of Fat and smooth muscle. It occurs in 13 per 0000 adults, and involes both kidneys in 15% of these patients.

Angiomyolipomas are much more prevalent in patients with tuberous sclerosis, 50-80%, accompanied by cysts and occasionally by renal cell carcinoma. Tuberous sclerosis is a multisystem syndrome characterized by neurological symptoms and tumours in multiple organs including kidneys, brain, skin, eyes, heart and lungs.

These tumors can be classified as small (< 4 cm), medium (4-8 cm) or large (> 8 cm). Renal angiomyolipoma of less than 4 cm is generally asymptomatic. Angiomyolipomas greater than 8 cm, responsible for significant morbidity, require generally a treatment, prior to the development of symptoms and potential complications. The large ones are more common in women than in men, and their rapid growth during pregnancy suggest that hormones may be responsible in
stimulating the increasing size of angiomyolipoma.


The management approach of angiomyolipomas is surgical resection, which should be aimed at parenchyma preservation. This can be effectively accomplished
by limited surgery, without postoperative dysfunction or required dialysis, even in solitary kidney. Renal embolization is alternative to surgery, mainly in patients with poorly functioning kidneys who present with pain or bleeding.

So there is no CURE as this is a tumor. You have to remove the kidney with large tumor. The small one you can wait and follow up with subsequent scans.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ravi Bansal (12 hours later)
Dear Sir,

Give advice for save next one
doctor
Answered by Dr. Ravi Bansal (2 hours later)
hi XXXXXX,

Blood pressure control if high
Regular check up with your doctor.
Monitoring the kidney for increase in size of the tumor at interval.

This is the only way to manage.

hope this helps , bye
Note: For further queries related to kidney problems and comprehensive renal care, talk to a Nephrologist. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ravi Bansal

Nephrologist

Practicing since :1996

Answered : 359 Questions

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Having Angiomyolipomas. Cure? Removing Kidney Is The Only Option?

Hi XXXXXX,

There are no attached documents in your post,
Kindly resend the documents.

will review and advice.

thanks