Fat poor angiomyolipoma with lymphadenopathy: diagnostic dilemma
Urology Annals. 2012; 4 (2): 126-129
in English
| IMEMR
| ID: emr-128659
ABSTRACT
A 24-year-old lady presented with left flank pain of 3 months duration. She had stigmata of tuberous sclerosis complex in the form of angiofibromas on face, ash-leaf macules on back and right upper limb and shagreen patches over back. Computed tomography scan of the abdomen showed 6.5 cm x 5.0 cm x 4.4 cm lobulated intensely enhancing exophytic mass lesion in mid pole of left kidney with significant para-aortic lymphadenopathy with no evidence of fat in the mass. She underwent radical left nephrectomy with a provisional diagnosis of renal cell carcinoma. Histopathological examination showed multicenteric angiomyolipoma involving kidney and para-aortic lymph nodes. This case report underscores the need for further research to differentiate fat-poor angiomyolipoma and lymphadenopathy from renal cell carcinoma
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Magnetic Resonance Imaging
/
Carcinoma, Renal Cell
/
Tomography, X-Ray Computed
/
Flank Pain
/
Kidney
/
Kidney Neoplasms
/
Lymphatic Diseases
/
Nephrectomy
Type of study:
Case report
Limits:
Female
/
Humans
Language:
English
Journal:
Urol. Ann.
Year:
2012
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