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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Back Pain With Increased Size Of Angiomyolipoma

I am a female aged 42 years, recently i had my follow-up U/s done which shows that the size my angiomyolipoma at the upper pole of my right kidney has increased from 4cm to 5cm and shows little vascularity. I am experiencing pain in back at the end of rib cage and lower abdomen with low grade fever at times. Had my Urine DR done which indicates presence of hemoglobin and RBC in it and further with leucocytes to 4/HPF and Epithelial C to 10/HPF. Can anyone tell whats all this? Is all this related? Any suggestions or advice as to what should i do?
Wed, 25 Jan 2012
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Pathologist and Microbiologist 's  Response
Hello. Presence of both hemoglobin and RBC in urine indicate a renal origin of blood. Though Angiomyolipoma is a benign tumor, yet it is best to get it removed as an increasing size could lead to compressive symptoms over vital vessels and nerves near the renal pole. Leucocytes and epithelial cells at your age and sex are not significant and unrelated to all this. Nevertheless, my advice to you would be to get your angiomyolipoma removed. Wish you good health
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Back Pain With Increased Size Of Angiomyolipoma

Hello. Presence of both hemoglobin and RBC in urine indicate a renal origin of blood. Though Angiomyolipoma is a benign tumor, yet it is best to get it removed as an increasing size could lead to compressive symptoms over vital vessels and nerves near the renal pole. Leucocytes and epithelial cells at your age and sex are not significant and unrelated to all this. Nevertheless, my advice to you would be to get your angiomyolipoma removed. Wish you good health