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Revista Mexicana de Urología

Organo Oficial de la Sociedad Mexicana de Urología
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2012, Number 3

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Rev Mex Urol 2012; 72 (3)

Bilateral angiomyolipoma, tuberous sclerosis, and pregnancy

López-Álvarez A, Aragón-Tovar AR, López-Bernal C
Full text How to cite this article

Language: Spanish
References: 6
Page: 136-140
PDF size: 356.91 Kb.


Key words:

Bilateral angiomyolipoma, tuberous sclerosis, pregnancy, Mexico.

ABSTRACT

Angiomyolipoma is a relatively infrequent benign renal tumor whose incidence increases in patients with tuberous sclerosis, a dominant autosomal disorder characterized by hamartomatous lesions in multiple organs, frequently affecting the kidney. Pregnancy can intensify the symptomatology of previously silent renal tumors, making their diagnosis and treatment more complex. We present the case of a 25-year-old woman with a previous diagnosis of tuberous sclerosis, who in her eighth week of pregnancy presented with anemia-causing hematuria. Bilateral renal angiomyolipoma was identified and when expectant treatment failed, she was treated with selective embolization.


REFERENCES

  1. Rakowski SK, Winterkorn EB, Paul E, et al. Renal manifestations of tuberous sclerosis complex: incidence prognosis and predictive factor. Kidney Int 2006;70(10):1777-11782.

  2. Illiescca-Molina T, Montalvo-Montes J, Contreras-Cecilia E, et al. Angiomiolipoma esclrerosis tuberosa y gestación. Ginecología y obstetricia de Mexico 2009;77:380-386.

  3. Gimeno-Argente V, Bosquet-Sanz M, Bonillo-Garcia MA, et al. Cirugía conservadora del angiomiolipoma renal bilateral durante el embarazo. Actas Urol Esp 2006;30(6):633-637.

  4. Kobayashi M, Nakano K, Nukui A, et al. Bilateral massive renal angiomyolipoma, concurrente with oncocytoma in tuberous sclerosis complex associated whith pulmonary lynphangioleiomyomatosis. Urology 2008;72(4):948.

  5. Schwartz RA, Fernández G, Kotulska K, et al. Tuberous sclerosis complex: advances in diagnosis genetics and management. J Am Acad Dermatol 2007;57(2):189-202.

  6. Seyam RM, Bissada NK, Kattan SA, et al. Changing trens in presentation, diagnosis an management of renal angiomyolipoma: comparison of sporadic and tuberous sclerosis complex-assosiated forms. J Urology 2008;72(5):1077-1082.




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Rev Mex Urol. 2012;72