Sandbox: DDx Kidney mass: Difference between revisions
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Angiomyolipoma | Angiomyolipoma | ||
25-35 yo males | * 25-35 yo males | ||
Asymptomatic | * Asymptomatic | ||
Fever, flank pain ,hematuria, hypertension, nausea, vomiting, | * Fever, flank pain ,hematuria, hypertension, nausea, vomiting, | ||
Tuberous sclerosis | * Tuberous sclerosis | ||
Palpable mass | * Palpable mass | ||
Hypovolemic shock if ruptured | * Hypovolemic shock if ruptured | ||
Anemia | * Anemia | ||
Blood vessels, smooth muscle, and mature adipose tissue | * Blood vessels, smooth muscle, and mature adipose tissue | ||
Hemorrhage and necrosis | * Hemorrhage and necrosis | ||
Well circumscribe highly echogenic mass on ultrasonography | * Well circumscribe highly echogenic mass on ultrasonography | ||
Negative Hounsfield units (HU) on CT scan | * Negative Hounsfield units (HU) on CT scan | ||
Calcification is rare | * Calcification is rare | ||
TSC1 and TSC2 gene mutation | * TSC1 and TSC2 gene mutation | ||
HMB45 Positive | * HMB45 Positive | ||
Revision as of 20:27, 9 November 2015
Angiomyolipoma
- 25-35 yo males
- Asymptomatic
- Fever, flank pain ,hematuria, hypertension, nausea, vomiting,
- Tuberous sclerosis
- Palpable mass
- Hypovolemic shock if ruptured
- Anemia
- Blood vessels, smooth muscle, and mature adipose tissue
- Hemorrhage and necrosis
- Well circumscribe highly echogenic mass on ultrasonography
- Negative Hounsfield units (HU) on CT scan
- Calcification is rare
- TSC1 and TSC2 gene mutation
- HMB45 Positive
Angiosarcoma
Nonmalignant causes
anaplastic sarcoma clear cell sarcoma mesoblastic nephroma metanephric stromal tumor nephroblastomatosis / nephrogenic rests neuroblastoma oncocytoid carcinoma after neuroblastoma ossifying