Open AccessFat poor angiomyolipoma with lymphadenopathy: Diagnostic dilemma
Author(s) -
Pankaj Kumar Garg,
Bhupendra Kumar Jain,
Abdhesh Kumar,
Shuchi Bhatt,
Vibhav Vibhav
Publication year - 2012
Publication title -
urology annals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 20
eISSN - 0974-7834
pISSN - 0974-7796
DOI - 10.4103/0974-7796.95573
Subject(s) - medicine , angiomyolipoma , tuberous sclerosis , nephrectomy , renal cell carcinoma , flank pain , abdomen , radiology , lymph , kidney , pathology
A 24-year-old lady presented with left flank pain of 3 months duration. She had stigmata of tuberous sclerosis complex in the form of angiofibromas on face, ash-leaf macules on back and right upper limb and shagreen patches over back. Computed tomography scan of the abdomen showed 6.5 cm × 5.0 cm × 4.4 cm lobulated intensely enhancing exophytic mass lesion in mid pole of left kidney with significant para-aortic lymphadenopathy with no evidence of fat in the mass. She underwent radical left nephrectomy with a provisional diagnosis of renal cell carcinoma. Histopathological examination showed multicenteric angiomyolipoma involving kidney and para-aortic lymph nodes. This case report underscores the need for further research to differentiate fat-poor angiomyolipoma and lymphadenopathy from renal cell carcinoma.