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  • Title: [The clinical aspects and treatment of renal angiolipomas in patients with tuberous sclerosis].
    Author: van Baal JG, Fleury P, Brummelkamp WH.
    Journal: Ned Tijdschr Geneeskd; 1990 Aug 11; 134(32):1556-8. PubMed ID: 2392178.
    Abstract:
    The incidence of multiple and bilateral renal angiomyolipomas in tuberous sclerosis patients is 40-80%. These benign abundantly vascularised tumours are almost always asymptomatic. Most of the symptomatic renal angiomyolipomas measure more than 4 cm. These lesions are attended by a high risk of spontaneous rupture and massive haemorrhage. In our series of 23 tuberous sclerosis patients with renal angiomyolipomas 4 became symptomatic. Three of them were successfully treated wtih transcatheter selective embolization. Preventive embolization of renal angiomyolipomas appears indicated if these measure more than 4 cm. A fifth patient became symptomatic before the diagnosis of tuberous sclerosis was made. She had a forme fruste. She was also successfully treated by the same method.
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