Hemangioma kidney - is a rare disease, however, it occurs and may cause serious complications. In most cases, small hemangiomas occur unnoticed kidney, and in adults they are prone to reduction and even disappearance.
What causes kidney hemangioma
Hemangioma is a consequence of congenital renal vascular defect arises from the weave of their walls. Kidney hemangioma occurs rarely, like most benign diseases in this area. It develops most often in the medulla or in the wall of the renal pelvis (the beginning of the urinary tract). Sometimes it is found in the renal cortex, in this case there may be a massive hemorrhage.
As any hemangioma, hemangioma kidney tends to increase during the growth of the whole body, that is in childhood and adolescence. Adults hemangioma grows rare. However, there are also such hemangiomas, which first appear in the elderly.
Very rare benign tumors of the kidney and the possibility of malignancy (cancerous transformation process) makes each time it is suspected malignant process, fully examine the patient, while maintaining the suspicion of malignancy to remove the tumor.
How can manifest kidney hemangioma
Small hemangioma kidney often does not manifest, that is asymptomatic. But if it is increased, and the surrounding tissue compresses the blood circulation in them, usually in the early stages it is shown the appearance of blood in the urine
Blood in the urine - a reason for serious concern
(hematuria). Sometimes hematuria appears suddenly and is massive.
With the growth of the tumor may appear such symptoms as fatigue, weakness, malaise, dull aching pain on the affected side.
If the urinary tract clots occur, it can lead to sudden and sharp strong fields lumbar - renal colic
Renal colic: a signal that the danger in the bud
That occurs when blockage of the urinary tract and blood circulation in this area.
When squeezing the growing tumor kidney veins can occur in men varicocele
Varicocele - when it hurts the scrotum
- Varicose veins of the spermatic cord.
If growing tumor compresses the artery kidney, gradually the patient may develop resistant hypertension (high blood pressure), renal origin, but such cases are rare.
Signs of bleeding and rupture kidney hemangioma is the sudden appearance of severe pain in the lower back or abdominal pain, blood in urine, severe weakness, drop in blood pressure and, possibly, loss of consciousness.
Diagnostics
Hemangioma kidneys often are asymptomatic and are accidental discovery during ultrasound or X-ray studies for other diseases.
Since malignant tumors occur more often in kidneys, upon detection of a neoplasm primarily exclude them precisely. An ultrasound, x-ray, CT and MRI. Scintigraphy (radionuclide study of kidneys) allows you to check kidney function, detects a blockage of the urinary tract.
But not always, even with the full survey can be distinguished from a malignant tumor hemangioma
Malignant tumor: cells are mad
. In this case, the tumor was removed, followed by histological examination of tissue.
Treatment
Treatment hemangioma kidney (if the final diagnosis is established) begins with the observation of it. If the tumor is small (less than 3 cm in diameter), crush the kidney tissue and blood vessels do not grow and did not give signs of malignancy, it does not touch. Otherwise operative treatment.
Hemangioma kidney differs from other benign tumors of the fact that at the time of the survey is not conducted biopsies - taking tissue for histological examination of the tumor - it is fraught with bleeding. Therefore, histological examination is carried out while the patient is on the operating table. If the laboratory has not confirmed malignancy, then it is conserving surgery - partial nephrectomy within the healthy tissue. If the detected abnormal tissues (malignant) cells, the kidney was removed, and after the operation is performed using the combination therapy of chemotherapy and radiotherapy.
The prognosis for renal hemangioma is usually favorable and proper operation will no longer hemangioma develops. However, such patients require continuous observation and inspection in order to avoid recurrence of the tumor and its malignancy.
Galina Romanenko