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Having Angiomyolipomas. Cure? Removing kidney is the only option?

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Practicing since : 1996
Answered : 258 Questions
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
Posted Tue, 25 Jun 2013 in Kidney Conditions
Answered by Dr. Ravi Bansal 37 minutes later

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

will review and advice.

Above answer was peer-reviewed by
Follow-up: Having Angiomyolipomas. Cure? Removing kidney is the only option? 4 minutes later
Dear Dr,

Reports attached for our kind Reference
Answered by Dr. Ravi Bansal 7 hours later

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
Follow-up: Having Angiomyolipomas. Cure? Removing kidney is the only option? 12 hours later
Dear Sir,

Give advice for save next one
Answered by Dr. Ravi Bansal 2 hours later

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
Above answer was peer-reviewed by
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