Deciphering renal malformation tumors

  With the popularity of health checkups, more and more patients are found to have “renal malformation tumor” due to ultrasound, which makes many patients feel uneasy.
  1.What groups of people are prone to get renal malformation tumor? Is there any prevention method?
  There are two types of renal malformation tumors.
  They are associated with tuberous sclerosis, a rare genetic disease, and are younger than 30 years old. Most of them have reddish facial angiofibromas with a butterfly-shaped distribution.
  (ii) Occasional renal malformation tumors, most often seen in middle-aged women.
  The mechanism of the occurrence of renal malformation tumors is still unclear and there is no effective way to prevent their occurrence. Therefore, “any drug or physical therapy that claims to reduce renal malformations” is a scam.
  The result is that there is no way to prevent it except surgery.
  2.What is renal malformation tumor? What are the dangers? When do I need treatment?
  Renal malformation tumor is also called renal vascular smooth muscle lipoma, that is to say, this tumor is due to the mixture of “blood vessels, smooth muscle, fat” and other components, which is benign tissue itself, but grows inside the kidney.
  Therefore, in any case, renal malignant tumors are benign, not malignant, and are not life-threatening due to metastasis.
  Small malignant tumors have no effect and do not cause any harm to the body;
  However, when the tumor continues to increase in size, there are two risks.
  1. If the misshapen tumor continues to grow, it will compress the good kidney tissues and cause damage or loss of kidney function;
  2. Since malformation tumor is rich in blood vessels, once the rupture of one of them occurs, fatal hemorrhagic shock can occur.
  Therefore, surgery is recommended for malformation tumors >4cm or those that continue to grow in size.
  Summary.
  ①Small misshapen tumors do not require treatment and annual ultrasound is not a concern;
  ②If the malformation tumor is larger than 4cm or continues to increase in size, early surgery is more beneficial.
  3.How to treat
  Surgery is currently the only way to cure the disease.
  (1) Interventional embolization therapy is mostly used to reduce bleeding before surgery and for emergency treatment, but there is a possibility of rebleeding;
  (2) laparoscopic partial nephrectomy, laparoscopic technique under partial nephrectomy have the characteristics of less damage and faster recovery, is currently the most appropriate treatment options.
  Summary: laparoscopic partial nephrectomy is currently the most ideal treatment modality