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Bilateral renal angiomyolipomas and subependymal giant cell astrocytoma associated with tuberous sclerosis complex: A case report and review of the literature Cover

Bilateral renal angiomyolipomas and subependymal giant cell astrocytoma associated with tuberous sclerosis complex: A case report and review of the literature

Open Access
|Mar 2021

Figures & Tables

Figure 1

At the upper pole of the right kidney a large AML, longest diameter of 12.3 × 7.1 cm (arrow left) with heterogenous density, presence of microaneurisms at the posterior and lateral segments, with a dominant lipid component revealed on the urinary tract MRI (red arrow). At the lower pole of the left kidney, an AML with the dimension of 5.3 × 3.7 cm (arrow right) and other multiple AMLs with dimensions of 5-10 mm were found, as well as multiple cysts.

Figure 2

On the brain MRI, multiple lesions as subependimal nodules, subcortical tubers and largest tumor mass presented in foramen Monro as SEGA (diameter 3.0 × 1.5 cm) were described.

Figure 3

Magnetic resonance imaging of the urinary tract at 12 months after everolimus initiation.

Figure 4

Magnetic resonance imaging of the brain at 12 months after everolimus initiation.

Figure 5

Magnetic resonance imaging of the urinary tract at 36 months after everolimus treatment initiation.

Figure 6

Magnetic resonance imaging of the brain at 36 months after everolimus treatment initiation.

The proband’s clinical diagnostic criteria_

Major FeaturesMinor Features
AngiomyolipomasMultiple renal cysts
Cortical tubersGingival fibromas
SEGA
Hypopigmented macules
Fagial angiofibromas
Cardiac rhabdomyoma

Biochemical laboratory findings in the follow-up period_

ParametersFirst YearSecond YearThird Year
Hb (g/dL)12.112.412.6
RBC (1012/L)3.94.14.0
Platelets (109/L)245.0254.0256.0
Protein/albumin (g/dL)79.0/41.082.0/42.081.0/42.0
SCR (μmol/L)62.061.063.0
BUN (mmol/L)3.82.93.5
Cholesterol (mmol/L)4.04.14.0
HDL (mmol/L)1.21.31.2
LDL (mmol/L)2.32.22.1
Triglycerides (mmol/L)0.961.101.10
CRP (mg/L)1.91.21.6
Proteinuria (g/24 hours)0.130.110.17
Language: English
Page range: 93 - 98
Published on: Mar 23, 2021
In partnership with: Paradigm Publishing Services
Publication frequency: 2 issues per year

© 2021 I Rambabova Bushljetik, M Lazareska, I Barbov, O Stankov, V Filipce, G Spasovski, published by Macedonian Academy of Sciences and Arts
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.