How to judge renal hamartoma

The clinical manifestations, physical examination and imaging examination of renal hamartoma can all confirm the diagnosis. Small renal hamartomas do not have any signs. They are diagnosed through color Doppler ultrasound and examination. Color Doppler ultrasound shows a high-echo renal mass, and examination shows a renal mass with a high fat content. Large renal hamartomas may cause low back pain and discomfort. Large tumors may spontaneously rupture, causing low back pain. Large hamartomas can be diagnosed through color Doppler ultrasound and examination.

Many people do not know the cause of hamartoma, but its incidence is also very high. The incidence rate of women is significantly higher than that of men. Spontaneous rupture and bleeding is the most common serious complication of renal hamartoma, which is very harmful to the human body. Before treatment, you must be fully prepared and carefully examined. How to diagnose renal hamartoma?

1. Laboratory testing

If a patient is diagnosed with renal hamartoma, a urine test must be done first to detect hidden blood. The clinical manifestations of bilateral renal hamartoma are hypertension and renal insufficiency, and blood creatinine and urea nitrogen can confirm the diagnosis. Some tests can also be done, such as renal hamartoma is easy to rupture, and hematuria may occur after rupture. There will be occult blood in the urine test. If it is bilateral renal hamartoma, there may be abnormalities such as blood creatinine and urea.

2. Imaging.

By doing the most basic examination, we can see the location of fat, muscle and bleeding, as well as the low echo in the tumor. The abdominal plain film can find that the kidney shape is unclear, the psoas muscle shadow disappears, and there are obvious signs of calcification in the kidney area. The examination is of great significance for the diagnosis of renal hamartoma. It is a tumor with uneven density and contains a lot of fat.

3. Arterial imaging

There are two ways to diagnose renal hamartoma: intravenous urethrography and renal artery angiography. Since it cannot clearly show non-deformed tumors that do not cause renal hamartoma, it is difficult to distinguish between it and renal hamartoma.

4. Clinical manifestations

If the tumor is large, the patient will have intermittent pain in the waist or upper abdomen. Most of the pain is swelling and mild pain. Renal hamartoma may have spontaneous rupture, bleeding and sudden severe back pain. In severe cases, there will be hemorrhagic shock and acute abdomen, which can determine whether it is a renal hamartoma.

How to diagnose renal hamartoma? Once diagnosed, active treatment must be carried out. The treatment of renal hamartoma should take into account factors such as patient age, tumor size and associated symptoms. In the case of no significant clinical manifestations after diagnosis, observation should be strengthened. If the tumor is relatively large and has obvious clinical manifestations, a comprehensive preoperative examination is required.