Angiomyolipoma differential diagnosis: Difference between revisions
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When an AML has typical appearances there is essentially no differential. If atypical, especially when fat-poor other lesions to consider include: | 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 | **may contain fat: lipid necrosis or osseous metaplasia | ||
* | *Oncocytoma: may contain fat | ||
*Wilms tumour: may contain fat | *Wilms tumour: may contain fat | ||
* | *Perirenal fat entrapment / renal junctional parenchymal defect | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Revision as of 16:02, 21 September 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Faizan Sheraz, M.D. [2]
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
- Wilms tumour: may contain fat
- Perirenal fat entrapment / renal junctional parenchymal defect