Why is hamartoma difficult to cure

If you have a hamartoma, you must adhere to the principle of early detection and early treatment, and go to the hospital for regular check-ups. Through B-ultrasound and CT, you can accurately understand the condition of the hamartoma disease, and then carry out targeted treatment. There are many options for the treatment of hamartoma, so why is hamartoma difficult to cure?

Hamartoma can originate from many tissues, and is commonly found in the lung (localized or diffuse hamartomas formed by local proliferation of a mixture of cartilage islands, bronchial epithelium and glands), kidney (angiomyolipomas), breast (breast hamartomas formed by mammary lobular fat), and infant liver (mesenchymal hamartomas). Hamartoma disease should be treated with surgery as soon as possible when clinical and X-ray findings cannot rule out malignant tumors. Even for benign hamartomas, early surgery can avoid complications such as pneumonia, atelectasis, and bronchiectasis caused by tumor enlargement, which can aggravate or complicate the condition. Hamartomas are difficult to cure in the following situations:

① Discomfort or pain in the waist and abdomen: It is caused by the enlargement and expansion of the kidney, which increases the tension of the renal capsule, pulls the renal pedicle, or compresses the adjacent organs. In addition, the large size of the renal hamartoma causes the kidney to become heavy, which can also cause lumbar pain. The pain is characterized by dull pain, fixed on one side or both sides, radiating to the lower part and the waist and back. If there is bleeding in the tumor or secondary infection, the pain will suddenly intensify. If the urinary tract is blocked by stones or blood clots after bleeding, renal colic may occur.

②Hematuria: It can be manifested as microscopic hematuria or macroscopic hematuria. The attack is cyclical. The back pain often intensifies during the attack. Vigorous exercise, trauma, and infection can induce or aggravate it.

③Abdominal mass: Sometimes it is the main reason for patients to seek medical treatment. Sixty to eighty percent of patients can feel enlarged kidneys.

④ Proteinuria: Generally, the amount is not much, and will not exceed 2g in 24 hours. Nephrotic syndrome will not occur.

⑤ Hypertension: The tumor compresses the kidneys, causing renal ischemia, increasing renin secretion, and causing hypertension. When renal function is normal, more than 50% of patients have hypertension, and the incidence of hypertension is even higher when renal function is impaired.

⑥ Decreased renal function: Due to the tumor occupying the space and compressing the kidney, the normal renal tissue is significantly reduced, and the renal function is progressively reduced.

All of the above situations will make hamartoma difficult to cure.