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Kidney Diseases

Angiomyolipoma

08/13/2008

Question:

Just over 2 months ago the doctors did an embolization for a bleeding angiomyolipoma on my left kidney (9cm in size). Is it normal to have little uncomfortability still some days in my left side. The doctor said that the angiomyolipoma will probably be shrinking. Could this be what I am feeling? I am going for another CT scan at the end of the month and I am very worried as I do not want to have surgery. Can an embolization be 100% successful?

Answer:

As you probably know, embolization is a process that can be used to block a blood vessel that feeds a tumor such as yours.  The growth then shrinks for lack of blood supply; however, the shrinking does involve death of tissue, which can cause some pain or discomfort.  If the pain becomes worse, or if you start experiencing fever or new symptoms that you did not have previously, you should definitely notify your doctor or the radiologist who did the procedure, because they may choose to do the CAT scan earlier than scheduled. 

Yes, embolization can be 100% successful; but because your angiomyolipoma was pretty large, be sure to ask your radiologist for a frank opinion on this matter (especially once they examine the repeat CAT scan).   

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Response by:

Mildred   Lam, MD Mildred Lam, MD
Associate Professor of Medicine
School of Medicine
Case Western Reserve University