Unusual renal angiomyolipoma in tuberous sclerosis.
A patient with tuberous sclerosis and a normal intravenous urogram 5 years previously presented with a large and palpable upper pole renal mass. Since patients with tuberous sclerosis have small bilateral hamartomas, a Wilms' tumor was suspected. In retrospect, inhomogenous nephrograms should have alerted the radiologist to the multiplicity of other small lesions. Also, a partially lucent rim should have sustantiated that the lesion was not a Wilms' tumor.
D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006391:Hemangioma / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D007223:Infant; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery; D008067:Lipoma / Q000175:diagnosis / Q000000981:diagnostic imaging* / Q000601:surgery; D011859:Radiography; D014402:Tuberous Sclerosis / Q000150:complications*; D009396:Wilms Tumor / Q000175:diagnosis