Knowledge

Angiomyolipoma

Source 📝

146: 281:
with ultrasound, particularly if the angiomyolipoma is near the surface of the kidney (grade III). CT is very detailed and fast, and allows accurate measurement. However, it exposes the patient to radiation and the dangers that a contrast dye used to aid the scanning may itself harm the kidneys. MRI is safer than CT, but many patients (particularly those with the learning difficulties or behavioural problems found in tuberous sclerosis) require sedation or general anaesthesia, and the scan cannot be performed quickly. Some other kidney tumours contain fat, so the presence of fat is not diagnostic. Distinguishing a fat-poor angiomyolipoma from a
157: 419: 71: 134: 43: 196: 403:) cause few problems, but angiomyolipomas have been known to grow as rapidly as 4 cm in one year. Angiomyolipomas larger than 5 cm and those containing an aneurysm pose a significant risk of rupture, which is a medical emergency, as it is potentially life-threatening. One population study found the cumulative risk of hemorrhage to be 10% in males and 20% in females. 323:
possible is vital when removing any lesion. Large angiomyolipomas are treated by embolization, which reduces the risk of hemorrhage and can also shrink the lesion. A side effect of this treatment is postembolisation syndrome, severe pain and fever, but this is easily managed and lasts only a few days.
438:
found 80% will have some form of renal lesion by around 10 years of age. Of these, 75% are angiomyolipomas and 17% are cysts. The angiomyolipomas increased in size in around 60% of these children. An autopsy study and TSC clinic survey found a prevalence of 67 and 85%, respectively, for patients with
361:
Patients with kidney loss should be monitored for hypertension (and treated for it if discovered) and avoid nephrotoxic drugs such as certain pain relievers and intravenous contrast agents. Such patients who are unable to communicate effectively (due to age or intellectual disability) are at risk of
260:
Angiomyolipomas are typically found in the kidney, but have also been commonly found in the liver and less commonly the ovary, fallopian tube, spermatic cord, palate, and colon. The Maclean imaging classification system for renal angiomyolipomas is based on the location of the angiomyolipoma within
280:
Three methods of scanning can detect angiomyolipomas: ultrasound, computed tomography (CT), and magnetic resonance imaging (MRI). Ultrasound is standard and is particularly sensitive to the fat in angiomyolipomas, but less so to the solid components. However, accurate measurements are hard to make
322:
In tuberous sclerosis, typically, many angiomyolipomas affect each kidney. Not uncommonly, more than one intervention may be required during lifetime. Since kidney function may already be impaired (up to half the kidney may be lost before function loss is detectable), preserving as much kidney as
386:
every three or four years has been suggested for angiomyolipoma-like masses measuring less than 2 cm. For those measuring 2 to 4 cm, annual ultrasonography is recommended. Those over 4 cm are usually surgically removed, but for those that are not, it is recommended to perform an
318:
People with tuberous sclerosis are advised to have yearly renal scans, though patients with very stable lesions could be monitored less frequently. The research in this area is lacking. Even if no angiomyolipoma is found, one can develop at any life stage. The angiomyolipoma can grow rapidly.
369:
Robotic assisted partial nephrectomy has been proposed as a surgical treatment of a ruptured angiomyolipoma combining the advantages both of a kidney preservation procedure and the benefits of a minimal invasive procedure without compromising the safety of the patient.
296:
complex (TSC), especially those who aged 18 to 40 years, and those with bilateral angiomyolipomas. Those with AML and TSC has 20 to 50% chance of having haemorrhage from AML, and of those having haemorrhages, 20% of them have life-threatening haemorrhages.
559:
Bissler JJ, Henske EP. Renal Manifestations of Tuberous Sclerosis Complex. In: Kwiatkowski DJ, Wiittlemore DJ, Thiele EA, editors. Tuberous Sclerosis Complex: Genes, Clinical Features and Therapeutics. Wiley-VCH Verlag GmbH; 2010. p. 321–325.
1010: 995: 430:
Angiomyolipomas are the most common benign tumour of the kidney, and are found either in patients with tuberous sclerosis or sporadically. About 80–90% of cases are sporadic, and these are most commonly found in middle-aged women.
349:
are used. The destroyed kidney tissue often causes postembolisation syndrome, which manifests as nausea, vomiting, fever, and abdominal pain, and lasts a few days. Embolisation (in general) has an 8% rate of
179:. This can cause pain in the back, nausea and vomiting. Some long-term effects are anemia, hypertension, and chronic kidney disease. Up to 20% of patients who present symptoms, and are brought into the 830:"Spontaneous Retroperitoneal Hemorrhage (Wunderlich Syndrome) due to Large Upper Pole Renal Angiomyolipoma: Does Robotic-Assisted Laparoscopic Partial Nephrectomy Have a Role in Primary Treatment?" 308:
is US Food and Drug Administration-approved for the treatment of angiomyolipomas. Treatment should be considered for asymptomatic, growing AMLs measuring larger than 3 cm in diameter.
106:. Angiomyolipomas are less commonly found in the liver and rarely in other organs. Whether associated with these diseases or sporadic, angiomyolipomas are caused by mutations in either the 1094: 1627: 406:
A second problem occurs when the renal angiomyolipomas take over so much kidney that the function is impaired, leading to chronic kidney disease. This may be severe enough to require
175:
Most people with benign angiomyolipomas do not show signs or have symptoms. However, symptoms can occur if the dilated blood vessels in an angiomyolipoma rupture; this is called a
1025: 1647: 152:
of a person with tuberous sclerosis and multiple angiomyolipomas in the kidney: Measurement of kidney length on the US image is illustrated by '+' and a dashed line.
879:
Doshi AM, Ayoola A, Rosenkrantz AB (August 2017). "Do Incidental Hyperechoic Renal Lesions Measuring Up to 1 cm Warrant Further Imaging? Outcomes of 161 Lesions".
125:. Drug therapy for angiomyolipomas is at the research stage. The Tuberous Sclerosis Alliance has published guidelines on diagnosis, surveillance, and management. 1087: 1770: 581: 1080: 102:, in which most individuals have several angiomyolipomas affecting both kidneys. They are also commonly found in women with the rare lung disease 914:
Maclean DF, Sultana R, Radwan R, McKnight L, Khastgir J (August 2014). "Is the follow-up of small renal angiomyolipomas a necessary precaution?".
727:"Enhancing disease awareness for tuberous sclerosis complex in patients with radiologic diagnosis of renal angiomyolipoma: an observational study" 461:"Tuberous sclerosis complex diagnostic criteria update: recommendations of the 2012 International Tuberous Sclerosis Complex Consensus Conference" 326:
A ruptured aneurysm in an angiomyolipoma leads to blood loss that must be stopped (though embolisation) and compensated for (through intravenous
650:"The differential imaging features of fat-containing tumors in the peritoneal cavity and retroperitoneum: the radiologic-pathologic correlation" 199:
Myoid cells with clear cytoplasm spinning off of large vessels in a background of mature fat, the classic microscopic features of angiomyolipoma
145: 311:
Angiomyolipomas do not normally require surgery unless life-threatening bleeding is present. Some centers may perform preventative selective
1983: 1448: 1295: 1133: 781:"Transcatheter arterial embolization in patients with kidney diseases: an overview of the technical aspects and clinical indications" 1210: 565: 1843: 1763: 1699: 2014: 1467: 1178: 156: 1243: 1225: 118:
genes, which govern cell growth and proliferation. They are composed of blood vessels, smooth muscle cells, and fat cells.
2009: 1341: 1248: 418: 1642: 1632: 1353: 264:
Since all three components of an angiomyolipoma (vascular cells, immature smooth muscle cells, and fat cells) contain a
334:) is strongly discouraged, though may occur if the emergency department is not knowledgeable about tuberous sclerosis. 1952: 1924: 1756: 1290: 289:
compared to in-phase. Thus, a lesion growing at greater than 5 mm per year may warrant a biopsy for diagnosis.
1879: 1570: 1148: 596:"Renal angiomyolipoma: a radiological classification and update on recent developments in diagnosis and management" 379: 176: 2004: 1874: 1694: 1582: 1363: 1233: 1033: 423: 285:(RCC) can be difficult. Both minimal fat AMLs and 80% of the clear-cell type of RCCs display signal drop on an 103: 1679: 1957: 1929: 1884: 1661: 1419: 1263: 1205: 1157: 1497: 1348: 1305: 1300: 698: 363: 88: 383: 235: 149: 138: 725:
Bausch K, Wetterauer C, Diethelm J, Ebbing J, Boll DT, Dill P, Rentsch CA, Seifert HH (January 2021).
133: 1838: 1810: 1684: 1529: 1253: 1183: 282: 180: 226:(benign tumours consisting of normal cells in the wrong location). PEComas are themselves a kind of 1858: 1674: 1600: 1482: 1282: 1258: 1220: 1215: 1128: 1014: 222:(benign tumours consisting of cells in their correct location, but forming a disorganised mass) or 184: 70: 51: 1934: 1637: 1612: 1575: 1472: 1441: 1405: 1238: 435: 342: 293: 265: 250: 227: 99: 315:
of the angiomyolipoma if it is more than 4 cm in diameter, due to the risk of hemorrhage.
1906: 1737: 1709: 1617: 1477: 1268: 1103: 1044: 931: 896: 861: 810: 758: 679: 625: 561: 490: 410:. A population survey of patients with TSC and normal intelligence found 1% were on dialysis. 327: 231: 59: 42: 1072: 1815: 1748: 1566: 1462: 1400: 1336: 923: 888: 851: 841: 800: 792: 748: 738: 669: 661: 615: 607: 480: 472: 239: 218:, from the initials of perivascular epithelioid cell. Older literature may classify them as 211: 207: 168: 345:, typically by injecting ethanol or inert particles. The procedure can be very painful, so 1944: 1898: 1853: 1553: 1381: 955: 407: 269: 1833: 1689: 509: 476: 1962: 1916: 1787: 1783: 1714: 1704: 1622: 1607: 1542: 1391: 1371: 856: 829: 828:
Ploumidis A, Katafigiotis I, Thanou M, Bodozoglou N, Athanasiou L, Ploumidis A (2013).
805: 780: 753: 726: 674: 649: 620: 595: 485: 460: 355: 1019: 195: 1998: 1795: 246: 1732: 1376: 1278: 1197: 1170: 1138: 396: 312: 286: 164: 122: 779:
Loffroy R, Rao P, Kwak BK, Ota S, De Lin M, Liapi E, Geschwind JF (May–Jun 2010).
137:
Angiomyolipoma seen as a hyperechoic mass in the upper pole of an adult kidney on
1038: 1825: 1724: 1562: 1436: 1431: 1331: 1107: 514: 331: 1049: 927: 743: 17: 1669: 1518: 1004: 796: 665: 611: 305: 292:
Incidental discovery of angiomyolipomas (AML) should trigger consideration of
223: 219: 1595: 1538: 1487: 1055: 594:
Jinzaki M, Silverman SG, Akita H, Nagashima Y, Mikami S, Oya M (June 2014).
400: 351: 346: 935: 900: 865: 814: 762: 683: 629: 494: 846: 210:
cells (cells which are found surrounding blood vessels and which resemble
1967: 1779: 1110: 960: 892: 338: 254: 204: 92: 64: 1193: 1166: 1114: 582:
Is the follow-up of small renal angiomyolipomas a necessary precaution?
580:
D. F. W. Maclean, R. Sultana, R. Radwan, L. McKnight, and J. Khastgir,
160: 987: 648:
Shin NY, Kim MJ, Chung JJ, Chung YE, Choi JY, Park YN (May–Jun 2010).
1427: 1327: 1319: 999: 215: 84: 378:
It is suggested that no follow-up is needed for angiomyolipoma-like
1514: 341:
along the blood vessels to the tumour. The blood vessels are then
194: 155: 144: 132: 87:. Although regarded as benign, angiomyolipomas may grow such that 1060: 362:
dehydration. Where multiple or large angiomyolipomas have caused
98:
Angiomyolipomas are strongly associated with the genetic disease
114: 108: 1752: 1076: 387:
ultrasonography after six months, and then annually if stable.
426:
and prognoses. Angiomyolipoma is seen at right in pie chart.
245:
An angiomyolipoma is composed of varying proportions of
1628:
Multiple cutaneous and uterine leiomyomatosis syndrome
422:
Histopathologic types of kidney tumour, with relative
54:. The tumours are hypodense (dark) due to fat content. 382:
measuring less than 1 or 2 cm. Alternatively, a
977: 1976: 1943: 1915: 1897: 1867: 1824: 1803: 1794: 1723: 1660: 1551: 1527: 1505: 1496: 1418: 1390: 1362: 1318: 1277: 1192: 1165: 1156: 1147: 1121: 981: 167:, and has an attenuation of less than 20 HU on the 58: 35: 584:Clinical Radiology, vol.69, no.8, pp.822–826, 2014 268:, they are believed to have derived from a common 454: 452: 272:that developed the common second-hit mutation. 720: 718: 697:Reinhard R, van der Zon-Conijn M, Smithuis R. 555: 553: 551: 330:). Therefore, removal of the affected kidney ( 1764: 1088: 774: 772: 549: 547: 545: 543: 541: 539: 537: 535: 533: 531: 8: 949: 947: 945: 163:of a renal angiomyolipoma. It involves the 50:Angiomyolipoma in both kidneys (arrows) in 1800: 1771: 1757: 1749: 1502: 1162: 1153: 1095: 1081: 1073: 978: 643: 641: 639: 203:Angiomyolipomas are tumours consisting of 121:Large angiomyolipomas can be treated with 69: 41: 32: 855: 845: 804: 752: 742: 673: 619: 576: 574: 484: 83:are the most common benign tumour of the 439:TSC. Both genders are affected equally. 417: 395:Small angiomyolipomas and those without 459:Northrup H, Krueger DA (October 2013). 448: 214:). A tumour of this kind is known as a 966:This topic last updated: Dec 30, 2017. 881:AJR. American Journal of Roentgenology 7: 171:, which are typical characteristics. 1134:Desmoplastic small-round-cell tumor 477:10.1016/j.pediatrneurol.2013.08.001 230:which involves cells that form the 337:Embolisation involves inserting a 25: 1804:Glandular and epithelial neoplasm 1211:Aggressive infantile fibromatosis 1844:Clear-cell sarcoma of the kidney 1700:Clear-cell sarcoma of the kidney 358:, so is not considered lightly. 95:and burst, leading to bleeding. 1468:Intradermal spindle cell lipoma 1179:Dermatofibrosarcoma protuberans 1984:Malignant fibrous histiocytoma 1296:Malignant fibrous histiocytoma 1244:Infantile digital fibromatosis 1230:Familial myxovascular fibromas 1226:Diffuse infantile fibromatosis 1: 1342:Superficial acral fibromyxoma 1249:Juvenile hyaline fibromatosis 1643:Solitary cutaneous leiomyoma 1633:Multiple cutaneous leiomyoma 1354:Ossifying fibromyxoid tumour 1953:Transitional cell carcinoma 1925:Transitional cell carcinoma 1291:Benign fibrous histiocytoma 785:Korean Journal of Radiology 654:Korean Journal of Radiology 380:incidental imaging findings 89:kidney function is impaired 2031: 1880:Juxtaglomerular cell tumor 1571:Embryonal rhabdomyosarcoma 1149:Connective tissue neoplasm 928:10.1016/j.crad.2014.03.016 744:10.1186/s12882-021-02253-w 177:retroperitoneal hemorrhage 27:Benign tumor of the kidney 1875:Renal medullary carcinoma 1695:Malignant rhabdoid tumour 1662:Complex mixed and stromal 1591: 1583:Alveolar rhabdomyosarcoma 797:10.3348/kjr.2010.11.3.257 666:10.3348/kjr.2010.11.3.333 612:10.1007/s00261-014-0083-3 287:out-of-phase MRI sequence 91:or the blood vessels may 49: 40: 1234:Fibroma of tendon sheath 434:In patients with TSC, a 366:, dialysis is required. 104:lymphangioleiomyomatosis 1958:Squamous-cell carcinoma 1930:Squamous-cell carcinoma 1885:Renal medullary fibroma 1264:Oral submucous fibrosis 1206:Aggressive fibromatosis 1122:Not otherwise specified 834:Case Reports in Urology 699:"Kidney - Solid masses" 508:Weerakkody Y, Amini B. 2015:Benign renal neoplasms 1306:Solitary fibrous tumor 1301:Atypical fibroxanthoma 510:"Renal angiomyolipoma" 427: 364:chronic kidney disease 200: 172: 153: 142: 1680:Mixed Müllerian tumor 421: 384:renal ultrasonography 266:"second-hit" mutation 198: 159: 150:Renal ultrasonography 148: 139:renal ultrasonography 136: 2010:Urological neoplasia 1839:Mesoblastic nephroma 1811:Renal cell carcinoma 1685:Mesoblastic nephroma 1254:Plantar fibromatosis 1184:Desmoplastic fibroma 893:10.2214/AJR.16.17490 283:renal cell carcinoma 181:emergency department 1859:Metanephric adenoma 1675:Pleomorphic adenoma 1483:Spindle cell lipoma 1283:histiocytic sarcoma 1259:Pleomorphic fibroma 1221:Collagenous fibroma 1216:Aponeurotic fibroma 1129:Soft-tissue sarcoma 847:10.1155/2013/498694 703:Radiology Assistant 465:Pediatric Neurology 354:and a 2.5% rate of 251:smooth muscle cells 52:computer tomography 1935:Inverted papilloma 1638:Neural fibrolipoma 1613:Angiolipoleiomyoma 1576:Sarcoma botryoides 1473:Pleomorphic lipoma 1442:Myxoid liposarcoma 1406:Clear-cell sarcoma 1239:Fibromatosis colli 954:Torres VE, Pei Y. 916:Clinical Radiology 436:longitudinal study 428: 294:tuberous sclerosis 228:mesenchymal tumour 201: 173: 154: 143: 129:Signs and symptoms 100:tuberous sclerosis 1992: 1991: 1907:Ureteral neoplasm 1893: 1892: 1746: 1745: 1738:Adenomatoid tumor 1710:Pancreatoblastoma 1656: 1655: 1618:Genital leiomyoma 1478:Lipoblastomatosis 1414: 1413: 1314: 1313: 1269:Pachydermodactyly 1070: 1069: 600:Abdominal Imaging 328:fluid replacement 232:connective tissue 78: 77: 30:Medical condition 16:(Redirected from 2022: 2005:Benign neoplasms 1816:Renal oncocytoma 1801: 1773: 1766: 1759: 1750: 1567:rhabdomyosarcoma 1556: 1532: 1508: 1503: 1463:Chondroid lipoma 1401:Synovial sarcoma 1337:Cutaneous myxoma 1163: 1154: 1097: 1090: 1083: 1074: 979: 967: 965: 951: 940: 939: 911: 905: 904: 876: 870: 869: 859: 849: 825: 819: 818: 808: 776: 767: 766: 756: 746: 722: 713: 712: 710: 709: 694: 688: 687: 677: 645: 634: 633: 623: 591: 585: 578: 569: 557: 526: 525: 523: 522: 505: 499: 498: 488: 456: 212:epithelial cells 169:Hounsfield scale 74: 73: 45: 33: 21: 2030: 2029: 2025: 2024: 2023: 2021: 2020: 2019: 1995: 1994: 1993: 1988: 1972: 1939: 1911: 1889: 1863: 1854:Cystic nephroma 1820: 1790: 1788:genital systems 1777: 1747: 1742: 1719: 1652: 1587: 1554:Skeletal muscle 1552: 1547: 1528: 1523: 1506: 1492: 1410: 1386: 1382:Phyllodes tumor 1364:Fibroepithelial 1358: 1310: 1273: 1188: 1143: 1117: 1101: 1071: 1066: 1065: 990: 976: 971: 970: 953: 952: 943: 913: 912: 908: 878: 877: 873: 827: 826: 822: 778: 777: 770: 724: 723: 716: 707: 705: 696: 695: 691: 647: 646: 637: 593: 592: 588: 579: 572: 558: 529: 520: 518: 507: 506: 502: 458: 457: 450: 445: 416: 399:blood vessels ( 393: 376: 303: 278: 270:progenitor cell 193: 191:Pathophysiology 131: 81:Angiomyolipomas 68: 31: 28: 23: 22: 18:Angiomyolipomas 15: 12: 11: 5: 2028: 2026: 2018: 2017: 2012: 2007: 1997: 1996: 1990: 1989: 1987: 1986: 1980: 1978: 1974: 1973: 1971: 1970: 1965: 1963:Adenocarcinoma 1960: 1955: 1949: 1947: 1941: 1940: 1938: 1937: 1932: 1927: 1921: 1919: 1913: 1912: 1910: 1909: 1903: 1901: 1895: 1894: 1891: 1890: 1888: 1887: 1882: 1877: 1871: 1869: 1865: 1864: 1862: 1861: 1856: 1851: 1849:Angiomyolipoma 1846: 1841: 1836: 1830: 1828: 1822: 1821: 1819: 1818: 1813: 1807: 1805: 1798: 1792: 1791: 1778: 1776: 1775: 1768: 1761: 1753: 1744: 1743: 1741: 1740: 1735: 1729: 1727: 1721: 1720: 1718: 1717: 1715:Carcinosarcoma 1712: 1707: 1705:Hepatoblastoma 1702: 1697: 1692: 1687: 1682: 1677: 1672: 1666: 1664: 1658: 1657: 1654: 1653: 1651: 1650: 1645: 1640: 1635: 1630: 1625: 1623:Leiomyosarcoma 1620: 1615: 1610: 1608:Angioleiomyoma 1605: 1604: 1603: 1592: 1589: 1588: 1586: 1585: 1580: 1579: 1578: 1559: 1557: 1549: 1548: 1546: 1545: 1543:leiomyosarcoma 1535: 1533: 1525: 1524: 1522: 1521: 1511: 1509: 1500: 1494: 1493: 1491: 1490: 1485: 1480: 1475: 1470: 1465: 1459: 1458: 1457: 1456: 1454:Angiomyolipoma 1446: 1445: 1444: 1439: 1424: 1422: 1416: 1415: 1412: 1411: 1409: 1408: 1403: 1397: 1395: 1388: 1387: 1385: 1384: 1379: 1374: 1372:Brenner tumour 1368: 1366: 1360: 1359: 1357: 1356: 1351: 1346: 1345: 1344: 1339: 1324: 1322: 1316: 1315: 1312: 1311: 1309: 1308: 1303: 1298: 1293: 1287: 1285: 1275: 1274: 1272: 1271: 1266: 1261: 1256: 1251: 1246: 1241: 1236: 1231: 1228: 1223: 1218: 1213: 1208: 1202: 1200: 1190: 1189: 1187: 1186: 1181: 1175: 1173: 1160: 1151: 1145: 1144: 1142: 1141: 1136: 1131: 1125: 1123: 1119: 1118: 1102: 1100: 1099: 1092: 1085: 1077: 1068: 1067: 1064: 1063: 1052: 1041: 1030: 1022: 1007: 991: 986: 985: 983: 982:Classification 975: 974:External links 972: 969: 968: 941: 922:(8): 822–826. 906: 887:(2): 346–350. 871: 820: 791:(3): 257–268. 768: 731:BMC Nephrology 714: 689: 660:(3): 333–345. 635: 606:(3): 588–604. 586: 570: 527: 500: 471:(4): 243–254. 447: 446: 444: 441: 415: 412: 392: 389: 375: 372: 302: 299: 277: 274: 247:vascular cells 236:cardiovascular 192: 189: 130: 127: 76: 75: 62: 56: 55: 47: 46: 38: 37: 36:Angiomyolipoma 29: 26: 24: 14: 13: 10: 9: 6: 4: 3: 2: 2027: 2016: 2013: 2011: 2008: 2006: 2003: 2002: 2000: 1985: 1982: 1981: 1979: 1975: 1969: 1966: 1964: 1961: 1959: 1956: 1954: 1951: 1950: 1948: 1946: 1942: 1936: 1933: 1931: 1928: 1926: 1923: 1922: 1920: 1918: 1914: 1908: 1905: 1904: 1902: 1900: 1896: 1886: 1883: 1881: 1878: 1876: 1873: 1872: 1870: 1866: 1860: 1857: 1855: 1852: 1850: 1847: 1845: 1842: 1840: 1837: 1835: 1832: 1831: 1829: 1827: 1823: 1817: 1814: 1812: 1809: 1808: 1806: 1802: 1799: 1797: 1793: 1789: 1785: 1781: 1774: 1769: 1767: 1762: 1760: 1755: 1754: 1751: 1739: 1736: 1734: 1731: 1730: 1728: 1726: 1722: 1716: 1713: 1711: 1708: 1706: 1703: 1701: 1698: 1696: 1693: 1691: 1688: 1686: 1683: 1681: 1678: 1676: 1673: 1671: 1668: 1667: 1665: 1663: 1659: 1649: 1646: 1644: 1641: 1639: 1636: 1634: 1631: 1629: 1626: 1624: 1621: 1619: 1616: 1614: 1611: 1609: 1606: 1602: 1599: 1598: 1597: 1594: 1593: 1590: 1584: 1581: 1577: 1574: 1573: 1572: 1568: 1564: 1561: 1560: 1558: 1555: 1550: 1544: 1540: 1537: 1536: 1534: 1531: 1530:Smooth muscle 1526: 1520: 1516: 1513: 1512: 1510: 1504: 1501: 1499: 1495: 1489: 1486: 1484: 1481: 1479: 1476: 1474: 1471: 1469: 1466: 1464: 1461: 1460: 1455: 1452: 1451: 1450: 1447: 1443: 1440: 1438: 1435: 1434: 1433: 1429: 1426: 1425: 1423: 1421: 1417: 1407: 1404: 1402: 1399: 1398: 1396: 1393: 1389: 1383: 1380: 1378: 1375: 1373: 1370: 1369: 1367: 1365: 1361: 1355: 1352: 1350: 1347: 1343: 1340: 1338: 1335: 1334: 1333: 1329: 1326: 1325: 1323: 1321: 1317: 1307: 1304: 1302: 1299: 1297: 1294: 1292: 1289: 1288: 1286: 1284: 1280: 1276: 1270: 1267: 1265: 1262: 1260: 1257: 1255: 1252: 1250: 1247: 1245: 1242: 1240: 1237: 1235: 1232: 1229: 1227: 1224: 1222: 1219: 1217: 1214: 1212: 1209: 1207: 1204: 1203: 1201: 1199: 1195: 1191: 1185: 1182: 1180: 1177: 1176: 1174: 1172: 1168: 1164: 1161: 1159: 1155: 1152: 1150: 1146: 1140: 1137: 1135: 1132: 1130: 1127: 1126: 1124: 1120: 1116: 1112: 1109: 1105: 1098: 1093: 1091: 1086: 1084: 1079: 1078: 1075: 1062: 1058: 1057: 1053: 1051: 1047: 1046: 1042: 1040: 1036: 1035: 1031: 1028: 1027: 1023: 1021: 1017: 1016: 1012: 1008: 1006: 1002: 1001: 997: 993: 992: 989: 984: 980: 973: 963: 962: 957: 950: 948: 946: 942: 937: 933: 929: 925: 921: 917: 910: 907: 902: 898: 894: 890: 886: 882: 875: 872: 867: 863: 858: 853: 848: 843: 839: 835: 831: 824: 821: 816: 812: 807: 802: 798: 794: 790: 786: 782: 775: 773: 769: 764: 760: 755: 750: 745: 740: 736: 732: 728: 721: 719: 715: 704: 700: 693: 690: 685: 681: 676: 671: 667: 663: 659: 655: 651: 644: 642: 640: 636: 631: 627: 622: 617: 613: 609: 605: 601: 597: 590: 587: 583: 577: 575: 571: 567: 566:3-527-32201-9 563: 556: 554: 552: 550: 548: 546: 544: 542: 540: 538: 536: 534: 532: 528: 517: 516: 511: 504: 501: 496: 492: 487: 482: 478: 474: 470: 466: 462: 455: 453: 449: 442: 440: 437: 432: 425: 420: 413: 411: 409: 404: 402: 398: 390: 388: 385: 381: 373: 371: 367: 365: 359: 357: 353: 348: 344: 340: 335: 333: 329: 324: 320: 316: 314: 309: 307: 300: 298: 295: 290: 288: 284: 275: 273: 271: 267: 262: 258: 256: 252: 248: 243: 241: 237: 233: 229: 225: 221: 217: 213: 209: 206: 197: 190: 188: 186: 182: 178: 170: 166: 162: 158: 151: 147: 140: 135: 128: 126: 124: 119: 117: 116: 111: 110: 105: 101: 96: 94: 90: 86: 82: 72: 66: 63: 61: 57: 53: 48: 44: 39: 34: 19: 1848: 1834:Wilms' tumor 1733:Mesothelioma 1690:Wilms' tumor 1453: 1377:Fibroadenoma 1279:Histiocytoma 1198:fibromatosis 1171:fibrosarcoma 1139:Skin sarcoma 1054: 1043: 1032: 1024: 1009: 994: 959: 919: 915: 909: 884: 880: 874: 837: 833: 823: 788: 784: 734: 730: 706:. Retrieved 702: 692: 657: 653: 603: 599: 589: 519:. Retrieved 513: 503: 468: 464: 433: 429: 414:Epidemiology 405: 394: 377: 368: 360: 336: 325: 321: 317: 313:embolisation 310: 304: 291: 279: 263: 261:the kidney. 259: 244: 205:perivascular 202: 174: 165:renal cortex 123:embolisation 120: 113: 107: 97: 80: 79: 1868:by location 1826:Mixed tumor 1725:Mesothelial 1563:Rhabdomyoma 1437:Myelolipoma 1432:liposarcoma 1349:Angiomyxoma 1332:myxosarcoma 1158:Fibromatous 1108:soft tissue 515:Radiopaedia 332:nephrectomy 249:, immature 208:epithelioid 1999:Categories 1670:Adenomyoma 1519:myosarcoma 1420:Lipomatous 1320:Myxomatous 1104:Connective 1045:DiseasesDB 956:"UpToDate" 840:: 498694. 708:2017-10-27 521:2019-08-02 443:References 424:incidences 347:analgesics 306:Everolimus 224:choristoma 220:hamartomas 1601:Cutaneous 1596:Leiomyoma 1539:Leiomyoma 1498:Myomatous 1488:Hibernoma 1056:SNOMED CT 1029:: M8860/0 737:(1): 47. 401:aneurysms 391:Prognosis 374:Follow-up 356:mortality 352:morbidity 301:Treatment 276:Diagnosis 255:fat cells 242:systems. 240:lymphatic 183:, are in 60:Specialty 1968:Melanoma 1392:Synovial 1115:sarcomas 1061:19929002 961:UpToDate 936:24837696 901:28609114 866:24106637 815:20461179 763:33517888 684:20461188 630:24504542 495:24053982 408:dialysis 339:catheter 65:Oncology 1945:Urethra 1917:Bladder 1784:urinary 1782:of the 1507:General 1194:Fibroma 1167:Fibroma 1039:D018207 857:3784227 806:2864852 754:7849137 675:2864861 621:4040184 486:4080684 397:dilated 343:blocked 161:CT scan 1899:Ureter 1796:Kidney 1780:Tumors 1449:PEComa 1428:Lipoma 1328:Myxoma 1111:tumors 934:  899:  864:  854:  813:  803:  761:  751:  682:  672:  628:  618:  564:  493:  483:  253:, and 238:, and 216:PEComa 93:dilate 85:kidney 67:  1977:Other 1648:STUMP 1515:Myoma 1394:-like 1050:29496 1026:ICD-O 1020:223.0 1005:D30.0 185:shock 1786:and 1113:and 1034:MeSH 1015:9-CM 932:PMID 897:PMID 862:PMID 838:2013 811:PMID 759:PMID 680:PMID 626:PMID 562:ISBN 491:PMID 115:TSC2 109:TSC1 1011:ICD 996:ICD 924:doi 889:doi 885:209 852:PMC 842:doi 801:PMC 793:doi 749:PMC 739:doi 670:PMC 662:doi 616:PMC 608:doi 481:PMC 473:doi 112:or 2001:: 1569:: 1059:: 1048:: 1037:: 1018:: 1003:: 1000:10 958:. 944:^ 930:. 920:69 918:. 895:. 883:. 860:. 850:. 836:. 832:. 809:. 799:. 789:11 787:. 783:. 771:^ 757:. 747:. 735:22 733:. 729:. 717:^ 701:. 678:. 668:. 658:11 656:. 652:. 638:^ 624:. 614:. 604:39 602:. 598:. 573:^ 530:^ 512:. 489:. 479:. 469:49 467:. 463:. 451:^ 257:. 234:, 187:. 1772:e 1765:t 1758:v 1565:/ 1541:/ 1517:/ 1430:/ 1330:/ 1281:/ 1196:/ 1169:/ 1106:/ 1096:e 1089:t 1082:v 1013:- 998:- 988:D 964:. 938:. 926:: 903:. 891:: 868:. 844:: 817:. 795:: 765:. 741:: 711:. 686:. 664:: 632:. 610:: 568:. 524:. 497:. 475:: 141:. 20:)

Index

Angiomyolipomas

computer tomography
Specialty
Oncology
Edit this on Wikidata
kidney
kidney function is impaired
dilate
tuberous sclerosis
lymphangioleiomyomatosis
TSC1
TSC2
embolisation

renal ultrasonography

Renal ultrasonography

CT scan
renal cortex
Hounsfield scale
retroperitoneal hemorrhage
emergency department
shock

perivascular
epithelioid
epithelial cells
PEComa

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.