Urology Case Reports (Sep 2023)

Effectiveness of everolimus for sporadic renal angiomyolipoma with inferior vena cava thrombus: A case report

  • Kosuke Iwatani,
  • Jun Miki,
  • Fumihiko Urabe,
  • Takafumi Yanagisawa,
  • Takashi Hatano,
  • Takahiro Kimura

Journal volume & issue
Vol. 50
p. 102520

Abstract

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Sporadic Renal Angiomyolipoma (AML) is commonly managed through transcatheter arterial embolization (TAE) or surgical intervention. In this report, we present a remarkable case of tumor regression from Novick Classification level 2 to level 1 in a 54-year-old male with sporadic renal AML and inferior vena cava (IVC) involvement, treated with the administration of everolimus. Subsequently, laparoscopic nephrectomy without cavectomy was performed. Notably, the patient did not present with tuberous sclerosis complex (TSC). Our findings highlight the potential of everolimus in the treatment of sporadic AML, even in cases unrelated to TSC, offering a viable alternative to invasive therapeutic approaches.

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