Yaşlı Hastada Renal Anjiomiyolipomun Selektif Arteriyel Embolizasyonu: Olgu Sunumu

Öz

Renal anjiomiyolipom (AML) nadir benign mezenkimal bir tümördür. Semptomatik hastalarda veya retroperitoneal kanama riski ve malignesi riski olan hastlarda tedavi düşünülmelidir. Burada, 77 yaşındaki bayan retroperitoneal kanmaya neden olan AML hastaya selektif embolizasyon ile tedavisini sunduk.

Anahtar Kelimeler

• Anjiomyolipom,
• Embolizasyon,
• Retroperitoneal Kanama
• Selektif Anjiografi,

Selective Arterial Embolization of Renal Angiomyolipoma in an Elderly :Case Report

Öz

Renal angiomyolipoma (AML) is a rare benign mesenchymal neoplasm. Treatment should be considered for symptomatic patients or for those at risk for complications, in particular for retroperitoneal bleeding, which is correlated to the size of the tumor, grade of the angiogenic component, presence of pain and suspicion malignancy. Herein, we report the case of a 77-year-old female with renal AML who caused life-threatening retroperitoneal hemorrhages by selective embolization.

Anahtar Kelimeler

• Angiomyolipoma,
• Embolization,
• Retroperitoneal Hemorrhage,
• Selective Angiography

Kaynakça

1. Agiomyolipoma. Wrld Health Organization classification of tumour.In:Eble JN,Sauter, Epstein JI.Pathology and genetics of tumour of the urinery system and male genital organs. Martignoni G, Amin MB. Lyon : s.n., 2004, IARC Press, pp. p.65-67.
2. Prevalence of sporadic renal angiomyolipoma: a retrospective analysis of 61,389 in- and out-patients. Fittschen A, Wendlik I, Oeztuerk S, Kratzer W, Akinli AS, Haenle MM, et al. 2014, Abdom Imaging., Vol. 39, pp. 1009-13. https://doi.org/10.1007/s00261-014-0129-6
3. Renal angiomyolipomata . Bissler JJ, Kingswood JC. 66, 2004, Kidney Int, pp. 924-34. https://doi.org/10.1111/j.1523-1755.2004.00838.x
4. Evaluation of ABO blood groups and blood-based biomarkers as a predictor of growth kinetics of renal angiomyolipoma. Arslan B, Gürkan O, Çetin B, Arslan ÖA, Göv T, Yazıcı G, et al. 50(12), 2018, Int Urol Nephrol., pp. 2131-7. https://doi.org/10.1007/s11255-018-2012-9
5. Renal angiomyolipoma: longterm results following selective arterial embolization. Ramon J, Rimon U, Garniek,et al. 55, 2009, Eur Urol, pp. 1155-61. https://doi.org/10.1016/j.eururo.2008.04.025
6. Trends of presentation and clinical outcome of treated renal angiomyolipoma. Koo KC, Kim WT, Ham WS, et al:. 51, 2010, Yonsei Med J, pp. 728-734. https://doi.org/10.3349/ymj.2010.51.5.728
7. Management of sporadic renal angiomyolipomas:A systematic review of available evidence to guide recommendations from the european association of urology renal cell carcinoma guidelines panel. Fernandez-Pello S, Hora M, Kuusk T,et all. 3, 2020, European urology oncolgy, pp. 57-72. https://doi.org/10.1016/j.euo.2019.04.005
8. Transarterial embolizastion of angiomyolipoma:a systemic review. Murray TE, Doyle F, Lee M. 194, 2015, J Urol, pp. 635-9. https://doi.org/10.1016/j.juro.2015.04.081

9. Does epithelioid angiomyolipoma have poorer prognosis, compared with classic angiomyolipoma? Lee W, Choi SY, Lee C, Yoo S, You D, Jeong IG, et al. 59, 2018, Investig Clin Urol, Vol. 6, pp. 357-62. https://doi.org/10.4111/icu.2018.59.6.357
10. Renal angiomyolipomas-a study of 18 cases. Kulkarni B, Desai SB, Dave B, Tongaonkar HB, Kulkarni JN and Chinoy RF:. 48, 2005, Indian J Pathol Microbiol, pp. 459-463.
11. Die nierentumoren bei der tuberosen hirnsklerose. W., Fischer. 50, 1911, Zeigl Beitr Pathol Anat Allg Pathol., p. 235.
12. Spontaneous perirenal hemorrhage (Wunderlich syndrome): an analysis of 28 cases. Kim JW, Kim JY, Ahn ST, Park TY, Oh MM, Moon DG, et al. 37, 2019, AmJ Emerg Med, Vol. 1, pp. 45-7. https://doi.org/10.1016/j.ajem.2018.04.045
13. Update on the diagnosis and management of renal angiomyolipoma.2016;195(4 Pt 1):834-46. Flum AS, Hamoui N, Said MA, Yang XJ, Casalino DD, McGuire BB, et al. 2016, J Urol., pp. 834-46. https://doi.org/10.1016/j.juro.2015.07.126
14. "Macro" aneurysm in renal angiomyolipoma: two cases, with therapeutic embolization in one patient. Adler J, Greweldinger J, Litzky G. 1984, Urol Radiol, pp. 201-203. https://doi.org/10.1007/BF02923725
15. Long-term follow-up of the treatment of renal angiomyolipomas after selective arterial embolization with alcohol. Chick CM, Tan BS, Cheng C, et al:. 105, 2010, BJU Int, pp. 390-394. https://doi.org/10.1111/j.1464-410X.2009.08813.x
16. Renal angiomyoma. Çalışkan S, Gümrükçü G,Özsoy E, Topaktaş R, Öztürk Mİ. 7, 2019, REV ASSOC MED BRAS, Vol. 65, pp. 977-981. https://doi.org/10.1590/1806-9282.65.7.977