Question 1

what kind of doctor should i see for a small angiomyolipoma in my kidney? not sure if a urologist or a nephrologist is best.

Accepted Answer

See a urologist: And follow up  (  if you need surgery or  observation ).

Question 2

small suspected angiomyolipoma (l kidney) found incidentally on us last wk. i note from dec routine bloods egfr was 65. are they related? concerning?

Accepted Answer

Not related, but: eGFR of 65 is of concern and you should see a nephrologist for evaluation of kidney function.

Question 3

why do i need a abdomen and pelvic ct scan for small suspected kidney angiomyolipoma?

Accepted Answer

Angiomyolipoma: I assume something was seen on an ultrasound that might be an angiomyolipoma(AML)?  The ultrasound appearance can be suggestive of AML, not diagnostic.  It could still be other types of masses.  The CT appearance should be diagnostic, because CT can specifically detect the fat in the AML that confirms the diagnosis.  Not sure why pelvic CT necessary if AML confirmation is only issue.

Question 4

had a ct scan. it says i have a 4mm low density lesion in the inferior pole of the right kidney. likely a small angiomyolipoma. i have to have ultrasound in one year. im scared they are wrong and its actually cancer?

Accepted Answer

: Although I tend to advise people and doctors against using the words "always" or "never", I would think that the chances they were "wrong" (although still possible), is likely small.   4mm is on the small side.  It is likely they measured the "density" of tissue and it was very "low" density indicative of fat.  Angiomyolipoma's usually contain fat. I wish you the best and hope you don't over worry

Question 5

stage 1 grade 3 kidney cancer 3 years ago 9 mm echogenic focus in the mid to upper left kidney likely represents a small angiomyolipoma. cancer back?

Accepted Answer

Probably Not: Probably not - amls are benign tumors, with generally a characteristic appearance on us.

However, especially given your history, please keep following the plan for surveillance you and your doctor(s) have come up with. 

Closer scrutiny of this finding as well as the rest of your body is very important.

Question 6

male. 34yrs old with angiomyolipoma on kidney.  treatment?  what it is associated with?  surgery?  risks? lower back pain intermittently.

Accepted Answer

See below: It may not need treatment and be just followed by imaging to ensure that it is not growing. If treatment is needed, it need not be invasive surgery, the lesion could be treated by embolizing the blood vessel.
See this site for more information on this topic:
http://www.urology-textbook.com/angiomyolipoma-kidney.html

Question 7

my father(49 years) is suffering from angiomyolipoma, what is treatment?

Accepted Answer

Bleeding?: Kidney angiomyolipomas are usually benign and asymptomatic but can bleed  particularly if they get large (around 4 cm). Treatment for bleeding is putting a catheter into the the artery or arteries supplying the tumor and then occluding the bleeding vessels with coils placed through the catheter.

Question 8

have a questionable 4mm angiomyolipoma in upper pole of right kidney. radiologist seemed unsure. what else could it be that resembles angiomyolipoma?

Accepted Answer

Small lesion: 4 mm is very small lesion and differentiation from cyst or other tumor difficult. Angiomyolipomas  are benign and composed of variable amounts of three components; blood vessels (-angio), plump spindle cells (-myo) and adipose tissue (-lipo).If fat content recognized on ct or mr tumors likely to be angiomyoliipomas. Other tumors can have some fat content.

Question 9

embolization for angiomyolipoma on kidney, can you tell me more about this?

Accepted Answer

Can be done: Angiomyolipoma or AML is a fatty tumor often considered a benign disease.  It can be solitary or part of a genetic complex called tuberous sclerosis and present with many deposits.  It carries a risk of bleeding.  Embolization or placing coils into the small arteries feeding the mass is one way to treat it.  The decision may require careful evaluation of the size and location of the mass.

Question 10

right kidney ultrasound shows 25x21 mm size  angiomyolipoma. is it considered large? what should be done about it. currently there are no symptoms.

Accepted Answer

Angiolipoma: 22 mm is 2 cm which is moderate size. angiolipomas are benign  so would just monitor especially since there are not symptoms and surgery is not without risk .

http://www.dermnetnz.org/topics/angiolipoma/

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Doctor answers about:

Which treatment is best for a 4cm angiomyolipoma with minor bleeding on the kidney

A member asked:

What kind of doctor should i see for a small angiomyolipoma in my kidney? not sure if a urologist or a nephrologist is best.

A member asked:

Small suspected angiomyolipoma (l kidney) found incidentally on us last wk. i note from dec routine bloods egfr was 65. are they related? concerning?

A member asked:

Why do i need a abdomen and pelvic ct scan for small suspected kidney angiomyolipoma?

A member asked:

Had a ct scan. it says i have a 4mm low density lesion in the inferior pole of the right kidney. likely a small angiomyolipoma. i have to have ultrasound in one year. im scared they are wrong and its actually cancer?

A member asked:

Stage 1 grade 3 kidney cancer 3 years ago 9 mm echogenic focus in the mid to upper left kidney likely represents a small angiomyolipoma. cancer back?

A member asked:

Male. 34yrs old with angiomyolipoma on kidney. treatment? what it is associated with? surgery? risks? lower back pain intermittently.

A member asked:

My father(49 years) is suffering from angiomyolipoma, what is treatment?

A member asked:

Have a questionable 4mm angiomyolipoma in upper pole of right kidney. radiologist seemed unsure. what else could it be that resembles angiomyolipoma?

A member asked:

Embolization for angiomyolipoma on kidney, can you tell me more about this?

A member asked:

Right kidney ultrasound shows 25x21 mm size angiomyolipoma. is it considered large? what should be done about it. currently there are no symptoms.

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