{"id":3410,"date":"2021-07-16T08:00:00","date_gmt":"2021-07-16T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=3410"},"modified":"2026-05-18T09:56:34","modified_gmt":"2026-05-18T02:56:34","slug":"%e0%a6%95%e0%a6%bf%e0%a6%a1%e0%a6%a8%e0%a6%bf%e0%a6%b0-angiomyolipoma","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/bn\/2021\/07\/16\/angiomyolipoma-of-the-kidney\/","title":{"rendered":"\u0995\u09bf\u09a1\u09a8\u09bf\u09b0 \u098f\u09a8\u099c\u09bf\u0993\u09ae\u09be\u09af\u09bc\u09cb\u09b2\u09bf\u09aa\u09cb\u09ae\u09be: \u098f\u0995\u099f\u09bf \u09b8\u09be\u09a7\u09be\u09b0\u09a3 \u09b8\u09cc\u09ae\u09cd\u09af \u09b0\u09c7\u09a8\u09be\u09b2 \u099f\u09bf\u0989\u09ae\u09be\u09b0"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/bn\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" 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12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"has-drop-cap wp-block-paragraph\">An incidentally finding kidney tumor which is very common at my urology office, that so-called Angiomyolipoma (AMLs) in medical term. This tumor mostly detected at health promotion clinic which is made the patients really concerned when their first met with me. And that is the reason that we are going to discuss today.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">First of all, I need to confirm that Angiomyolipoma is a benign renal tumor. There were reports on 0.2% &#8211; 0.6% among general populations and most commonly found in middle-aged of female. Their etiologies divide into 2 categorizes<\/p>\n\n\n<script type=\"application\/ld+json\">\r\n{\r\n  \"@context\": \"https:\/\/schema.org\",\r\n  \"@type\": \"FAQPage\",\r\n  \"mainEntity\": [\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What is angiomyolipoma (AML) of the kidney?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Angiomyolipoma (AML) is a common benign kidney tumor composed of fat tissue, which allows it to be diagnosed by imaging alone without a biopsy. It affects approximately 0.2\u20130.6% of the general population and is most commonly found in middle-aged women. It is not cancerous.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What causes kidney angiomyolipoma?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"About 80% of angiomyolipoma cases are sporadic, meaning they occur without any identifiable cause. The remaining 20% are associated with genetic conditions such as tuberous sclerosis complex (TSC) or pulmonary lymphangioleiomyomatosis (LAM).\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What are the symptoms of kidney angiomyolipoma?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"About 85% of angiomyolipomas are asymptomatic and discovered incidentally during health check-up imaging. The remaining 15% may present with symptoms including spontaneous tumor hemorrhage, a palpable flank mass, flank pain, bloody urination, or urinary tract infection.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"How is angiomyolipoma diagnosed?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Angiomyolipoma can be diagnosed purely by imaging because of its unique fat composition. A non-contrasted CT scan is the gold standard for diagnosis. Ultrasound is commonly used at health check-up clinics but is less accurate for small tumors. MRI is an accurate alternative. Percutaneous biopsy is rarely needed.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"When does angiomyolipoma need treatment?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Angiomyolipoma smaller than 4 cm can be safely managed with active surveillance \u2014 regular monitoring without intervention. Tumors larger than 4 cm carry a higher risk of spontaneous rupture and bleeding, and may require treatment such as embolization or, in rare cases, surgery.\"\r\n      }\r\n    },\r\n    {\r\n      \"@type\": \"Question\",\r\n      \"name\": \"What are the treatment options for angiomyolipoma?\",\r\n      \"acceptedAnswer\": {\r\n        \"@type\": \"Answer\",\r\n        \"text\": \"Treatment options include active surveillance for small asymptomatic tumors, embolization as the first-line minimally invasive treatment for tumors larger than 4 cm (though it carries a 42.8% risk of post-embolization syndrome \u2014 a self-limited fever, flank pain, nausea and vomiting), surgery if malignancy is suspected, and thermal ablation techniques such as cryotherapy or radiofrequency ablation which are still emerging.\"\r\n      }\r\n    }\r\n  ]\r\n}\r\n<\/script>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"3420\" data-permalink=\"https:\/\/drsoaraweeurology.com\/bn\/2021\/07\/16\/angiomyolipoma-of-the-kidney\/charming-serious-middle-aged-blonde-woman-stands-crossed-hands-indoor-looks-directly-at-camera-being-confident-in-future-wears-casual-white-jumper-poses-determined-against-yellow-background\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Middle-age-female.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;7.1&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;Canon EOS 5DS R&quot;,&quot;caption&quot;:&quot;Charming serious middle aged blonde woman stands crossed hands indoor looks directly at camera being confident in future wears casual white jumper poses determined against yellow background.&quot;,&quot;created_timestamp&quot;:&quot;1600423217&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;63&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.00625&quot;,&quot;title&quot;:&quot;Charming serious middle aged blonde woman stands crossed hands indoor looks directly at camera being confident in future wears casual white jumper poses determined against yellow background.&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"AML most commonly found in middle-aged of female.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;AML most commonly found in middle-aged of female.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Middle-age-female.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Middle-age-female.jpg?resize=800%2C533&#038;ssl=1\" alt=\"Angiomyolipoma of the kidney: A common benign renal tumor\" class=\"wp-image-3420\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Middle-age-female.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Middle-age-female.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Middle-age-female.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Middle-age-female.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Middle-age-female.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">AML most commonly found in middle-aged of female.<\/figcaption><\/figure>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Sporadic or happens by itself without any causes &#8211; 80% of cases.<\/li>\n\n\n\n<li>Genetic-related diseases, tuberosclerosis (TSC) or pulmonary lymphangioleiomyomatosis (LAM) &#8211; 20% of cases.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">Since the most of Angiomyolipoma is asymptomatic, around 85% of cases are always incidentally finding from medical check up imaging. On the other hand, 15% of cases will symptomatically present.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"3419\" data-permalink=\"https:\/\/drsoaraweeurology.com\/bn\/2021\/07\/16\/angiomyolipoma-of-the-kidney\/flank-pain-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Flank-pain.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;8&quot;,&quot;credit&quot;:&quot;Shayne&quot;,&quot;camera&quot;:&quot;Canon EOS 60D&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;1453827278&quot;,&quot;copyright&quot;:&quot;SHAYNE&quot;,&quot;focal_length&quot;:&quot;60&quot;,&quot;iso&quot;:&quot;100&quot;,&quot;shutter_speed&quot;:&quot;0.005&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Flank pain is the example of symptomatic AML.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Flank pain is the example of symptomatic AML.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Flank-pain.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Flank-pain.jpg?resize=800%2C533&#038;ssl=1\" alt=\"\" class=\"wp-image-3419\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Flank-pain.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Flank-pain.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Flank-pain.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Flank-pain.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Flank-pain.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Flank pain is the example of symptomatic AML.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">Symptoms of symptomatic <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/30039053\/\">Angiomyolipoma<\/a><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Spontaneous tumor hemorrhage<\/li>\n\n\n\n<li>Palpable flank mass<\/li>\n\n\n\n<li>Flank pain<\/li>\n\n\n\n<li>Bloody urination<\/li>\n\n\n\n<li>Urinary tract infection<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Diagnosis &#8211; Angiomyolipoma can be diagnosed by pure imaging modality since they have a unique composition which is &#8220;Fat&#8221; so once the imaging can detect renal tumor with fat component, AMLs will be a diagnosis.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"3422\" data-permalink=\"https:\/\/drsoaraweeurology.com\/bn\/2021\/07\/16\/angiomyolipoma-of-the-kidney\/man-getting-ultrasound-of-a-abdomen-from-doctor-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Ultrasound.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Man getting ultrasound of a abdomen from doctor in hospital&quot;,&quot;created_timestamp&quot;:&quot;1470133348&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Man getting ultrasound of a abdomen from doctor&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Ultrasonography is the most common widely use and cheaper.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Ultrasonography is the most common widely use and cheaper.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Ultrasound.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Ultrasound.jpg?resize=800%2C533&#038;ssl=1\" alt=\"\" class=\"wp-image-3422\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Ultrasound.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Ultrasound.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Ultrasound.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Ultrasound.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Ultrasound.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Ultrasonography is the most common widely use and cheaper.<\/figcaption><\/figure>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Ultrasound &#8211; most common used modality. Pros: cheap, no radiation, widely accessible. Cons: operator dependent, less accurate for small AMLs.<\/li>\n\n\n\n<li>Non-contrasted CT scan &#8211; Gold standard. Pros: definitive diagnosis. Cons: radiation exposure, expensive.<\/li>\n\n\n\n<li>MRI &#8211; Alternative modality. Pros: accurate diagnosis. Cons: long scan time, expensive, contraindicated in metallic implanted patients.<\/li>\n\n\n\n<li>Percutaneous biopsy &#8211; rarely used. Pros: tissue diagnosis. Cons: risk of hemorrhage.<\/li>\n<\/ol>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"534\" data-attachment-id=\"3418\" data-permalink=\"https:\/\/drsoaraweeurology.com\/bn\/2021\/07\/16\/angiomyolipoma-of-the-kidney\/doctor-checking-x-ray-results-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/CT-scan.jpg?fit=1200%2C801&amp;ssl=1\" data-orig-size=\"1200,801\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Doctor checking x-ray results&quot;,&quot;created_timestamp&quot;:&quot;1498572884&quot;,&quot;copyright&quot;:&quot;Rawpixel Ltd.&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;200&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Doctor checking x-ray results&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Anyway, CT scan with contrast is the definite investigation for AML.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Anyway, CT scan with contrast is the definite investigation for AML.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/CT-scan.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/CT-scan.jpg?resize=800%2C534&#038;ssl=1\" alt=\"\" class=\"wp-image-3418\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/CT-scan.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/CT-scan.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/CT-scan.jpg?resize=1024%2C684&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/CT-scan.jpg?resize=768%2C513&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/CT-scan.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">CT scan is the definite investigation for AML.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Management options &#8211; There were confirmed literatures stating that less than 4 cm of AMLs can be reassured with no needing to do interventions. In contrast, if more than 4 cm AMLs have been reported, the possibility rupture event will increase. Treatment choices include active surveillance, embolization, surgery, and thermal ablation.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img data-recalc-dims=\"1\" loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" data-attachment-id=\"3421\" data-permalink=\"https:\/\/drsoaraweeurology.com\/bn\/2021\/07\/16\/angiomyolipoma-of-the-kidney\/surgeons-performing-operation-in-operation-room-4\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Operation.jpg?fit=1200%2C800&amp;ssl=1\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Surgeons performing operation in operation room at the hospital&quot;,&quot;created_timestamp&quot;:&quot;1470109055&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Surgeons performing operation in operation room&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Surgery will be considered if malignancy more likely to be.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Surgery will be considered if malignancy more likely to be.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Operation.jpg?fit=800%2C534&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Operation.jpg?resize=800%2C533&#038;ssl=1\" alt=\"\" class=\"wp-image-3421\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Operation.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Operation.jpg?resize=300%2C200&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Operation.jpg?resize=1024%2C683&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Operation.jpg?resize=768%2C512&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2021\/07\/Operation.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Surgery will be considered if malignancy more likely to be.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">The key message that urologist must let patients aware is that AMLs is a benign tumor which mostly need only an active surveillance program. Intervention is required in a rare case. See you in next topic!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">You can feel to text <a href=\"https:\/\/drsoaraweeurology.com\/\">me<\/a> here.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Q1: Is angiomyolipoma of the kidney cancerous?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">No. Angiomyolipoma (AML) is a benign (non-cancerous) kidney tumor. It is composed of fat, smooth muscle, and blood vessels, and is not malignant. However, larger AMLs carry a risk of spontaneous rupture and hemorrhage, which is why regular monitoring and sometimes intervention is recommended for tumors exceeding 4 cm in size.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q2: What causes angiomyolipoma of the kidney?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">In 80% of cases, angiomyolipoma occurs sporadically with no identifiable underlying cause. The remaining 20% are associated with genetic conditions, primarily tuberous sclerosis complex (TSC) or pulmonary lymphangioleiomyomatosis (LAM). AMLs are most commonly found in middle-aged women, though they can occur in both sexes.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q3: When does angiomyolipoma need treatment?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">AMLs smaller than 4 cm can generally be safely managed with active surveillance and regular imaging follow-up. Treatment becomes necessary when the tumor exceeds 4 cm, as larger AMLs carry a significantly higher risk of spontaneous rupture and life-threatening hemorrhage. Embolization is the preferred first-line minimally invasive treatment, with surgery reserved for cases suspicious of malignancy.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q4: How is angiomyolipoma diagnosed?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">AML can be diagnosed by imaging alone due to its characteristic fat content. Non-contrasted CT scan is the gold standard, as it can reliably detect fat within the tumor. Ultrasound is widely used at health check-up clinics as an initial screening tool, while MRI is an alternative for patients who cannot undergo CT. Percutaneous biopsy is rarely needed and reserved for atypical cases.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Q5: What symptoms does angiomyolipoma cause?<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Approximately 85% of AMLs are asymptomatic and discovered incidentally during routine health check-up imaging. The remaining 15% may present with symptoms including flank pain, a palpable flank mass, bloody urination, urinary tract infection, or spontaneous tumor hemorrhage. Any new or worsening flank pain in a known AML patient should prompt urgent medical evaluation to rule out rupture.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you have been told you have a kidney tumor or angiomyolipoma and would like a specialist assessment, Dr. Soarawee Weerasopone offers consultations at Bangkok Hospital Headquarters. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\">Book a Consultation<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional before starting any medical treatment.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>An incidentally finding kidney tumor which is very common at my urology office, that so-called Angiomyolipoma (AMLs) in medical term. This tumor mostly detected at health promotion clinic which is made the patients really concerned when their first met with me. And that is the reason that we are going to discuss today. First of [&hellip;]<\/p>\n","protected":false},"author":185281453,"featured_media":10018,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Angiomyolipoma is a benign kidney tumor. Learn when it needs treatment, diagnosis options, and the 4 cm rule. Guide by Dr. Soarawee, Bangkok Hospital.","jetpack_seo_html_title":"Angiomyolipoma of the Kidney: Diagnosis & Treatment | Dr. Soarawee","jetpack_seo_noindex":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1364],"tags":[1528,1529,1527,1526,1525],"class_list":["post-3410","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-oncology","tag-aml","tag-angiomyolipoma","tag-kidney-fat","tag-kidney-mass","tag-kidney-tumor"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/Angiomyolipoma.webp?fit=1200%2C630&ssl=1","jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-T0","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/posts\/3410","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/comments?post=3410"}],"version-history":[{"count":21,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/posts\/3410\/revisions"}],"predecessor-version":[{"id":9797,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/posts\/3410\/revisions\/9797"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/media\/10018"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/media?parent=3410"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/categories?post=3410"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/bn\/wp-json\/wp\/v2\/tags?post=3410"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}