Angiomyolipoma differential diagnosis: Difference between revisions
Jump to navigation
Jump to search
Line 22: | Line 22: | ||
**[[Leiomyosarcoma]] | **[[Leiomyosarcoma]] | ||
*Renal cell carcinoma with sarcomatoid differentiation | *Renal cell carcinoma with sarcomatoid differentiation | ||
*Renal leiomyoma | *Renal leiomyoma<ref name=pmid25517956>{{Cite journal | last1 = Patil | first1 = PA. | last2 = McKenney | first2 = JK. | last3 = Trpkov | first3 = K. | last4 = Hes | first4 = O. | last5 = Montironi | first5 = R. | last6 = Scarpelli | first6 = M. | last7 = Nesi | first7 = G. | last8 = Aron | first8 = M. | last9 = Sangoi | first9 = AR. | title = Renal Leiomyoma: A Contemporary Multi-institution Study of an Infrequent and Frequently Misclassified Neoplasm. | journal = Am J Surg Pathol | volume = | issue = | pages = | month = Dec | year = 2014 | doi = 10.1097/PAS.0000000000000354 | PMID = 25517956 }}</ref> | ||
**very rare | |||
**desmin +ve | |||
**HMB-45 -ve | |||
==References== | ==References== |
Revision as of 18:23, 22 September 2015
Angiomyolipoma Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Angiomyolipoma differential diagnosis On the Web |
American Roentgen Ray Society Images of Angiomyolipoma differential diagnosis |
Risk calculators and risk factors for Angiomyolipoma differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Faizan Sheraz, M.D. [2]
Overview
Differential Diagnosis
When an AML has typical appearances there is essentially no differential. If atypical, especially when fat-poor other lesions to consider include:
- Retroperitoneal liposarcoma invading the kidney:
- Presence of a large vessel extending into the renal cortex suggestive of AML; liposarcoma is hypovascular
- Renal parenchymal defect at the site of tumour contact favours exophytic angiomyolipoma- claw sign
- Calcifications suggest liposarcoma
- Adrenal myelolipoma
- Renal cell carcinoma (RCC)
- May contain fat: lipid necrosis or osseous metaplasia
- Oncocytoma: may contain fat
- Wilm's tumor: may contain fat
- Perirenal fat entrapment / renal junctional parenchymal defect
- Retroperitoneal sarcoma
- Renal cell carcinoma with sarcomatoid differentiation
- Renal leiomyoma[1]
- very rare
- desmin +ve
- HMB-45 -ve
References
- ↑ Patil, PA.; McKenney, JK.; Trpkov, K.; Hes, O.; Montironi, R.; Scarpelli, M.; Nesi, G.; Aron, M.; Sangoi, AR. (2014). "Renal Leiomyoma: A Contemporary Multi-institution Study of an Infrequent and Frequently Misclassified Neoplasm". Am J Surg Pathol. doi:10.1097/PAS.0000000000000354. PMID 25517956. Unknown parameter
|month=
ignored (help)