Giant Bilateral Renal Angiomyolipomas and Lymphangioleiomyomatosis Presenting after Two Successive Pregnancies Successfully Treated with Surgery and Rapamycin

• Published in: TheScientificWorld 2011-01, Vol.2011 (2011), p.1-9
• Main Authors: Selgas, Rafael, Peces, Carlos, Cuesta-López, Emilio, Peces, Ramón
• Format: Article
• Language: English
• Subjects: Adult; Angiomyolipoma - complications; Angiomyolipoma - drug therapy; Angiomyolipoma - surgery; Angiomyolipoma - therapy; Care and treatment; Case Report; Female; Health aspects; Humans; Kidney cancer; Kidney Neoplasms - complications; Kidney Neoplasms - drug therapy; Kidney Neoplasms - surgery; Kidney Neoplasms - therapy; Lung diseases; Lymphangioleiomyomatosis - complications; Lymphangioleiomyomatosis - drug therapy; Lymphangioleiomyomatosis - surgery; Lymphangioleiomyomatosis - therapy; Physiological aspects; Pregnancy; Pregnancy Complications, Neoplastic - drug therapy; Pregnancy Complications, Neoplastic - surgery; Pregnancy Complications, Neoplastic - therapy; Rapamycin; Sirolimus - therapeutic use; Tomography, X-Ray Computed; Treatment Outcome; Tumors
• ISSN: 2356-6140; 1537-744X; 1537-744X
• DOI: 10.1100/2011/263137

We report the case of a 25-year-old woman who presented with abdominal and flank pain with two successive pregnancies and was diagnosed of giant bilateral renal AMLs and pulmonary LAM associated with TSC in the post-partum of her second pregnancy. This case illustrates that in women with TSC rapid growth from renal AMLs and development of LAM may occur with successive pregnancies. It also stresses the potential for preservation of renal function despite successive bilateral renal surgery of giant AMLs. Moreover, the treatment with a low-dose rapamycin may be an option for LAM treatment. Finally, a low-dose rapamycin may be considered as an adjuvant treatment together to kidney-sparing conservative surgery for renal AMLs.