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Kidney angiomyolipoma in pregnancy.

Tupikowski K, Biały A, Dembowski J, Złotkiewicz M, Guziński M, Kołodziej AK, Zdrojowy R - Cent European J Urol (2014)

Bottom Line: Neoplasms are rare in pregnant women, however they are always a challenging diagnostic and curative problem.We present a case of a benign kidney tumor (angiomyolipoma) imitating nephroblastoma on magnetic resonance diagnosed in pregnancy.Cesarean section was performed in 29. gestotic week followed immediately by right radical nephrectomy.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology and Oncological Urology, Wrocław Medical University, Wrocław, Poland.

ABSTRACT
Neoplasms are rare in pregnant women, however they are always a challenging diagnostic and curative problem. We present a case of a benign kidney tumor (angiomyolipoma) imitating nephroblastoma on magnetic resonance diagnosed in pregnancy. Cesarean section was performed in 29. gestotic week followed immediately by right radical nephrectomy.

No MeSH data available.


Related in: MedlinePlus

MRI of abdomen, axial opposed–phase T1–weighted MR image (TR/TE, 308/3.3) shows 9 cm mass in upper pole of right kidney. India ink artifact (arrows) is present at interface of renal mass with kidney. Most AMLs contain macroscopic fat, the India ink artifact appears at all interfaces of the tumor with the kidney or at the interfaces of the fatty and nonfatty portions of the mass. Other renal masses do not contain macroscopic fat; for that reason, the India ink artifact appears at the interface of the renal mass with perinephric fat when the mass is exophytic. Thus, the diagnosis of AML is indicated when the India ink artifact is present at a renal mass–kidney interface or within a renal mass.
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Figure 0001: MRI of abdomen, axial opposed–phase T1–weighted MR image (TR/TE, 308/3.3) shows 9 cm mass in upper pole of right kidney. India ink artifact (arrows) is present at interface of renal mass with kidney. Most AMLs contain macroscopic fat, the India ink artifact appears at all interfaces of the tumor with the kidney or at the interfaces of the fatty and nonfatty portions of the mass. Other renal masses do not contain macroscopic fat; for that reason, the India ink artifact appears at the interface of the renal mass with perinephric fat when the mass is exophytic. Thus, the diagnosis of AML is indicated when the India ink artifact is present at a renal mass–kidney interface or within a renal mass.

Mentions: An MRI in the 25th week showed rapid growth of the tumor with measurements 90 x 77 mm. A polycystic tumor with multiple thick–walled cysts with inhomogeneous contents and signs of fresh intracystic bleedings in some cysts was closely adherent to the liver and right lumbar muscle but was without signs of local invasion (Figure 1 and Figure 2). An India ink artifact was visible, which pointed to angiomyolipoma (AML), but rapid growth and the patients young age led to the conclusion that a polycystic nephroblastoma can not be excluded. The patient declined percutaneous biopsy and opted for primary surgery.


Kidney angiomyolipoma in pregnancy.

Tupikowski K, Biały A, Dembowski J, Złotkiewicz M, Guziński M, Kołodziej AK, Zdrojowy R - Cent European J Urol (2014)

MRI of abdomen, axial opposed–phase T1–weighted MR image (TR/TE, 308/3.3) shows 9 cm mass in upper pole of right kidney. India ink artifact (arrows) is present at interface of renal mass with kidney. Most AMLs contain macroscopic fat, the India ink artifact appears at all interfaces of the tumor with the kidney or at the interfaces of the fatty and nonfatty portions of the mass. Other renal masses do not contain macroscopic fat; for that reason, the India ink artifact appears at the interface of the renal mass with perinephric fat when the mass is exophytic. Thus, the diagnosis of AML is indicated when the India ink artifact is present at a renal mass–kidney interface or within a renal mass.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3992443&req=5

Figure 0001: MRI of abdomen, axial opposed–phase T1–weighted MR image (TR/TE, 308/3.3) shows 9 cm mass in upper pole of right kidney. India ink artifact (arrows) is present at interface of renal mass with kidney. Most AMLs contain macroscopic fat, the India ink artifact appears at all interfaces of the tumor with the kidney or at the interfaces of the fatty and nonfatty portions of the mass. Other renal masses do not contain macroscopic fat; for that reason, the India ink artifact appears at the interface of the renal mass with perinephric fat when the mass is exophytic. Thus, the diagnosis of AML is indicated when the India ink artifact is present at a renal mass–kidney interface or within a renal mass.
Mentions: An MRI in the 25th week showed rapid growth of the tumor with measurements 90 x 77 mm. A polycystic tumor with multiple thick–walled cysts with inhomogeneous contents and signs of fresh intracystic bleedings in some cysts was closely adherent to the liver and right lumbar muscle but was without signs of local invasion (Figure 1 and Figure 2). An India ink artifact was visible, which pointed to angiomyolipoma (AML), but rapid growth and the patients young age led to the conclusion that a polycystic nephroblastoma can not be excluded. The patient declined percutaneous biopsy and opted for primary surgery.

Bottom Line: Neoplasms are rare in pregnant women, however they are always a challenging diagnostic and curative problem.We present a case of a benign kidney tumor (angiomyolipoma) imitating nephroblastoma on magnetic resonance diagnosed in pregnancy.Cesarean section was performed in 29. gestotic week followed immediately by right radical nephrectomy.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology and Oncological Urology, Wrocław Medical University, Wrocław, Poland.

ABSTRACT
Neoplasms are rare in pregnant women, however they are always a challenging diagnostic and curative problem. We present a case of a benign kidney tumor (angiomyolipoma) imitating nephroblastoma on magnetic resonance diagnosed in pregnancy. Cesarean section was performed in 29. gestotic week followed immediately by right radical nephrectomy.

No MeSH data available.


Related in: MedlinePlus