Infiltrating Recurrent Renal Angiomyolipoma with Fatal Outcome

Publisher Website
Google Scholar
Abstract
Renal angiomyolipomas are considered to be benign mesenchymal tumors despite histological findings often remarkable for cellular pleomorphism and mitoses. We report a renal angiomyolipoma in a 49-year-old white woman. Surgical treatment was followed by massive recurrence with perforation of the colon and invasion of the diaphragm. The patient died despite surgical debulking and radiation therapy. A review of the literature revealed 1 case of massive recurrence following partial resection of the tumor and 2 in which the tumor showed marked local invasion. We believe that patients with renal angiomyolipoma should be monitored carefully for aggressive tissue infiltration and recurrent tumor.