RENAL ANJİOMYOLİPOM OLGULARININ 5 YILA KADAR TAKİP GÖRÜNTÜLEME BULGULARI

Yıl 2019, Cilt: 20 Sayı: 3, 115 - 120, 22.07.2019

Erdem Yılmaz

https://doi.org/10.18229/kocatepetip.595047

Cited By: 1

Öz

AMAÇ: Bu çalışmanın amacı takip görüntülemeleri olan renal anjiomyolipom (AML) olgularını tümör boyut değişikliği ve gelişen komplikasyonlar açısından değerlendirmektir.

GEREÇ VE YÖNTEM: Görüntüleme tetkikleri ile renal AML tanısı konan ve takip görüntülemeleri bulunan olguların tümör boyutundaki değişiklikler, takipte gelişen komplikasyonlar ve yapılan girişimsel işlemler retrospektif olarak incelenmiştir.

BULGULAR: Abdominal görüntüleme ile tanısı konan 149 renal AML olgusunun 41’ ine (18E, 23K) takip görüntüleme yapıldığı saptanmıştır. Ortalama yaş 58.4 (min-maks: 31-81)’ dür. Takip süresi ortalama 28.3 ay (min-maks: 3-60)’ dır. 38 olguda (%93) tek taraflı (21 sol (%51), 17 sağ (%41)), 3 olguda (%7) çift taraflı AML saptanmıştır. İlk görüntülemede ortalama AML boyutu 39.2mm (min-maks: 5-363)’ dir. 28 olguda (%68) AML boyutu 40mm’ den küçük, 13 olguda (%32) ise 40mm’ den büyüktür. 32 olguda (%78) tümör boyutu değişmemiştir. 5 olguda (%12) tümör boyutunda artış mevcut olup ortalama artış 6 mm (min-maks: 3-10 mm)’ dir. 3 olguda (%7) takipte kanama görülmüştür. 3 olguya arteryel embolizasyon işlemi yapılmış, takipte ortalama boyut azalması 12.5 mm (min-maks: 10-15)’ dir. 1 olguya cerrahi rezeksiyon yapılmıştır.

SONUÇ: Renal AML’ ların boyutu genel olarak değişmemekle birlikte %12 olguda boyut artışı görülebilir. Semptomatik, büyük boyutlu ve takipte boyut artışı gösteren AML olgularında retroperitoneal kanama ve renal hasar gibi komplikasyonlardan korunmak için girişimsel işlemler yapılabilir.

Anahtar Kelimeler

Böbrek anjiomyolipomu, Görüntüleme, Komplikasyon, Takip

FOLLOW-UP IMAGING FINDINGS OF RENAL ANGIOMYOLIPOMA UP TO 5 YEARS

Öz

OBJECTIVE: The objective of this study is to evaluate the imaging and follow-up findings of renal angiomyolipomas (AML) in terms of tumor size difference and developing complications.

MATERIAL AND METHODS: Changes in tumor size, complications developed during follow-up, and interventional procedures performed were retrospectively reviewed in patients with renal AML.

RESULTS: 149 patients diagnosed as renal AML by abdominal imaging. 41 (18E, 23K) of them had follow-up imaging. The mean age was 58.4 (min-max: 31-81). The mean follow-up period was 28.3 months (min-max: 3-60). Unilateral AML was found in 38 patients (93%) (21 left (51%), 17 right (41%)) and bilateral AML was found in 3 (7%) patients. The mean AML size in initial imaging was 39.2mm (min-max: 5-363). 28 cases (68%) were smaller than 40mm and 13 cases (32%) were larger than 40mm. In 32 cases (78%) the tumor size was stable. There is an increase in tumor size in 5 cases (12%) with a mean increase of 6 mm (min-max: 3-10 mm). In 3 cases (7%) bleeding was observed on follow-up. Three patients underwent arterial embolization and the mean size reduction was 12.5 mm (min-max: 10-15). 1 patient underwent surgical resection.

CONCLUSIONS: The diameter of renal AMLs are usually stable, but 12% of them may increase in size on follow-up. Interventional procedures can be performed to prevent complications such as retroperitoneal hemorrhage, renal damage in symptomatic, large-sized AML patients and progression in size on follow-up.

Anahtar Kelimeler

Renal angiomyolipoma, Imaging, Complication, Follow-up

Kaynakça

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