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Can Urol Assoc J. 2010 Jun;4(3):E79-81. doi: 10.5489/cuaj.864.

A case of pararenal angiomyolipoma arising from an existing exophytic angiomyolipoma.

Canadian Urological Association journal = Journal de l'Association des urologues du Canada

Michael Lipsky, Ingride Richardson, Bassir Tareen

Affiliations

  1. Albert Einstein College of Medicine, Beth Israel Medical Center, Department of Urology, New York, NY.

PMID: 23293694 PMCID: PMC3499926 DOI: 10.5489/cuaj.864

Abstract

A 52-year-old healthy woman with a congenital solitary right kidney presented with an incidentally found pararenal mass. Computed tomography and magnetic resonance imaging revealed an exophytic mass in the right kidney consistent with an angiomyolipoma and an additional enhancing pararenal mass that contained fatty elements. Differential diagnosis of the mass included liposarcoma and angiomyolipoma. Upon exploration, the exophytic angiomyolipoma was found to be contiguous with the pararenal mass via an isthmus of fatty tissue. Frozen sections were taken from both masses which confirmed that both were angiomyolipoma. This is the first case reported in the literature wherein an angiomyolipoma extended extrarenally and formed a significantly larger pararenal mass.

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