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10.1186/s12894-015-0118-2

http://scihub22266oqcxt.onion/10.1186/s12894-015-0118-2
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C4693425!4693425!26710923
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suck abstract from ncbi


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pmid26710923      BMC+Urol 2015 ; 15 (ä): ä
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  • Treatment of renal angiomyolipoma: pooled analysis of individual patient data #MMPMID26710923
  • Kuusk T; Biancari F; Lane B; Tobert C; Campbell S; Rimon U; D?Andrea V; Mehik A; Vaarala MH
  • BMC Urol 2015[]; 15 (ä): ä PMID26710923show ga
  • Background: This study was performed to evaluate the impact of baseline characteristics and treatment methods on the outcome of sporadic renal angiomyolipoma (AML). Methods: This was a pooled analysis of individual data of 441 patients with AML retrieved from 58 studies and 3 institutional series. Results: Ninety-three patients underwent nephrectomy, 163 partial nephrectomy/enucleation, 128 embolisation, 19 cryoablation, 6 radiofrequency ablation, and 32 conservative treatment. Their mean follow-up period was 44.5 months. Patients who experienced major bleeding at presentation had significantly larger tumours than did those without bleeding (mean diameter, 10.1 vs. 5.9 cm, respectively; p?6 cm. These results suggest that conservative treatment can be considered in AMLs of <6 cm in diameter. Among current treatment methods, embolisation was associated with a significantly higher risk of re-intervention. Further studies are needed to define risk factors for bleeding and assess the relative benefits of different treatment modalities.
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