Detailed description of the diagnosis and treatment of hamartoma

Nowadays, there are still many people who basically do not have physical examinations due to their conditions. They do not know when hamartoma appears, and only realize the danger when it becomes serious, so they are very anxious. However, how to diagnose and treat hamartoma? Let us learn about the overview of hamartoma diagnosis and treatment.

Diagnosis of renal hamartoma: The diagnosis of renal hamartoma is generally not difficult and can be confirmed by B-ultrasound, CT or MRI.

Differential diagnosis of hamartoma:

Malignant renal tumor: Renal hamartoma contains a large amount of adipose tissue. The difference in acoustic impedance between fat and surrounding tissue is very large, so it appears as a strong echo on B-ultrasound examination. However, renal cancer does not contain adipose tissue, so it appears as a low echo on B-ultrasound examination. However, sometimes we encounter atypical renal hamartoma with very little fat component, which makes it difficult to distinguish it from renal cancer.

In the same principle, fat tissue shows low density on CT, and a negative CT value can be diagnosed as a hamartoma. However, hamartomas with little fat content are also difficult to distinguish from renal cancer under CT. In addition, MRI scanning is also a good method for diagnosing hamartomas. However, in clinical practice, for hamartomas with little fat content, it is often necessary to combine B-ultrasound, CT and MRI scanning to make a clear diagnosis.

Principles of treatment of hamartoma:

The treatment of renal hamartoma is mainly based on symptoms, tumor size, etc.

1. For asymptomatic tumors with a diameter of less than 4 cm, since the risk of spontaneous rupture is low, close observation and active monitoring of tumor size progression can be performed;

2. For hamartomas with a diameter of more than 4 cm, if the tumor is progressively enlarged or if the tumor is suspected to have a malignant tendency, surgical resection is recommended;

3. If the tumor is large and ruptures and bleeds, interventional embolization should be considered first, and then re-evaluated after the condition stabilizes, and a decision on surgical treatment should be made based on the situation.