Resolution of hypokalemia following nephrectomy for a presumed renal cell carcinoma revealing a large angiomyolipoma: A case report.

Fatemeh Khajeh, Shahryar Zeighami, Ali Ariafar, Zahra Bazargani, Hossein Hakimelahi

Abstract readCase Reports

In one paragraph

Article in Urology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Fatemeh KhajehPathology Department, Fasa University of Medical Sciences, Urology Department, Iran.

Shahryar ZeighamiUrology Department, Shiraz University of Medical Sciences, Iran.

Ali AriafarCancer Research Center of Shiraz Medical University, Iran.

Zahra BazarganiClinical Research Development Unit, Department of Pediatrics, Valiasr Hospital, Fasa University of Medical Sciences, Fasa, Iran.

Hossein HakimelahiUrology Department, Shiraz University of Medical Sciences, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Renal angiomyolipomas (AMLs) are benign tumors that can mimic renal cell carcinoma (RCC) when fat content is minimal. We report a 56-year-old male with recurrent paralysis and hypokalemia, presumed to be a paraneoplastic syndrome of RCC, prompting radical nephrectomy. Histopathology and immunohistochemistry (IHC) revealed an 8 cm AML, and hypokalemia resolved post-surgery. This case underscores the diagnostic challenge of minimal-fat AMLs and suggests that an accurate preoperative diagnosis could have enabled kidney-sparing surgery.

Indexed as

HypokalemiaNephrectomyParaneoplastic syndromeRenal angiomyolipomaRenal cell carcinoma

Identifiers

PMID40686509

DOI10.1016/j.eucr.2025.103108

PMCPMC12273241

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