Can renal angiography confirm hamartoma?

Renal hamartoma can be confirmed not only by renal angiography, but also by B-ultrasound, CT scan and other examinations. After the condition is confirmed, the patient needs to receive corresponding treatment according to the actual situation. Generally, the first choice for this disease is nephron-sparing surgery, which can completely remove the lesion while retaining as much normal renal tissue as possible.

Renal hamartoma is the most common benign tumor, accounting for about 0.3% to 3% of kidney tumors. The incidence of this tumor was low in the past when the diagnosis count was low, but with the improvement of diagnostic technology today, more and more clinical cases have been reported. It is estimated that the incidence of this disease in adults is as high as 0.13%. So can renal angiography confirm the presence of a renal hamartoma? Let's give you a detailed introduction below.

Renal angiography can clearly show the patient's tumor condition, especially a tumor with a diameter of one centimeter. It can clearly show its arterial phase, venous phase, and capillary phase, and then obtain the correct diagnostic clues from it. Renal angiography is likely to confirm renal hamartoma. However, renal angiography alone cannot completely confirm the disease. Patients are advised to complete B-ultrasound, CT and other examinations.

Generally, in B-ultrasound, the disease can be divided into typical and atypical image manifestations. The typical manifestation is a strong echo group, and the atypical manifestation is a low echo or no echo, mixed echo. A clear diagnosis cannot be made before surgery. At the same time, it should be understood that the disease is mainly secondary to tumor lesions, such as bleeding and liquefaction. In addition, the tumor contains different components of fat, smooth muscle, and fat, so the image echo also has various changes. CT examination is the most reliable diagnosis for the location and qualitative characterization of the disease, which can provide good image characteristics and qualitative diagnostic features. In this examination, the patient's scanning characteristics are mainly low-density fat components of varying sizes, clear edges, separations, and multiple shapes.

Renal angiography has a certain possibility of confirming hamartoma. After confirming hamartoma, patients need to consider conservative or surgical treatment under the guidance of doctors. Since the disease is a benign tumor, patients with small size and no symptoms do not need special treatment, and long-term follow-up and regular check-ups are sufficient. For patients with large size and obvious symptoms, doctors usually recommend surgical treatment to eliminate symptoms and prevent tumor rupture and bleeding.