@entity8 ( @entity359 ) is associated with complex clinical situations such as @entity5 in a solitary kidney, bilateral, large or multicentric @entity5 or those associated with @entity2916 ( @entity2916 ) or pregnancy. Management in these situations may be challenging. Fifteen @entity1 (20 kidneys) were admitted with symptomatic @entity359 over last 10 years. Eleven @entity1 had one or the other complicating factor. Ten @entity1 had a @entity5 of >10 cm, 4 had @entity2916 , 5 had @entity5 , 1 @entity1 was pregnant and 1 had a solitary functioning kidney. With the newer imaging modalities correct diagnosis was possible in 12 cases and @entity1358 ( @entity1358 ) was suspected in 3 cases. @entity2798 ( @entity2798 ) was done in 3 @entity1 , which successfully controlled @entity548 in all. Nephron-sparing surgery (NSS) was performed in 5 @entity1 . Total nephrectomy was done in 4 cases, in 3 due to suspicion of @entity1358 and in 1 due to extensive involvement of the kidney. Three @entity1 with @entity5 were chosen for conservative treatment and none developed recurrence of @entity548 on strict follow-up. In a pregnant @entity1 , @entity548 was successfully controlled with angioembolization. However, 1 @entity1 with a solitary functioning kidney with large-sized @entity5 (20 x 18 cm) underwent NSS. In conclusion, the basis of management of @entity359 is preservation of renal tissue, which can be effectively achieved with @entity2798 or NSS. In a solitary functioning kidney, NSS or @entity2798 is the ideal treatment, if feasible. The @entity1 in the @entity2916 group are usually more complicated and require life-long follow-up after initial management with NSS or @entity2798 . Pregnant @entity359 @entity1 can be safely managed with @entity2798 . Conservative treatment without any intervention and regular follow-up may be more helpful in some @entity1 with multiple, bilateral extensive @entity5 .

Management of XXXX in complex clinical situations.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity8 :: ('MESH:D007674', 'Disease') :: ['Renal angiomyolipoma'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding'] @entity5 :: ('MESH:D009369', 'Disease') :: ['multiple and bilateral tumours', 'tumours', 'tumour'] @entity1358 :: ('MESH:D002292', 'Disease') :: ['renal cell carcinoma', 'RCC'] @entity2916 :: ('MESH:D014402', 'Disease') :: ['tuberous sclerosis', 'TS'] @entity359 :: ('MESH:D018207', 'Disease') :: ['AML'] @entity2798 :: ('MESH:D009155', 'Disease') :: ['Selective angioembolization', 'SAE']
@entity8 :: (MESH:D007674,Disease) :: ['renal angiomyolipoma']
