Incidental Monotypic (Fat-Poor) Renal Angiomyolipoma Diagnosed by Core Needle Biopsy

We present the case of a 55-year-old patient with a history of chemotherapy and bone marrow transplantation because of acute myeloid leukaemia. An incidental 4 × 3 cm measuring renal mass was detected while performing a magnetic resonance imaging (MRI) for lumbago. The lesion was suspected to be eit...

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Main Authors: Verena Kufer, Siegfried A. Schwab, Maike Büttner, Abbas Agaimy, Michael Uder, Kerstin Amann
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2012/906924
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author Verena Kufer
Siegfried A. Schwab
Maike Büttner
Abbas Agaimy
Michael Uder
Kerstin Amann
author_facet Verena Kufer
Siegfried A. Schwab
Maike Büttner
Abbas Agaimy
Michael Uder
Kerstin Amann
author_sort Verena Kufer
collection DOAJ
description We present the case of a 55-year-old patient with a history of chemotherapy and bone marrow transplantation because of acute myeloid leukaemia. An incidental 4 × 3 cm measuring renal mass was detected while performing a magnetic resonance imaging (MRI) for lumbago. The lesion was suspected to be either a renal cell carcinoma (RCC) or a leukemic infiltration. To decide about further treatment a percutaneous core needle biopsy was performed. Histology showed a monotypic angiomyolipoma, a relatively rare benign renal lesion. Interestingly, in cross-sectional imaging, angiomyolipoma was not taken into differential diagnostic account because of lack of a fatty component. Due to bleeding after biopsy the feeding artery of the tumor was occluded by microcoils. This case demonstrates the utility of biopsy of renal tumors, in particular when small tumor-like lesions are incidentally detected to decide about the right treatment and thereby avoiding nephrectomy.
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spelling doaj-art-b60478b6690f45818abcd7b5810faadb2025-08-20T02:23:23ZengWileyCase Reports in Medicine1687-96271687-96352012-01-01201210.1155/2012/906924906924Incidental Monotypic (Fat-Poor) Renal Angiomyolipoma Diagnosed by Core Needle BiopsyVerena Kufer0Siegfried A. Schwab1Maike Büttner2Abbas Agaimy3Michael Uder4Kerstin Amann5Department of Pathology, University of Erlangen-Nürnberg, 91054 Erlangen, GermanyDepartment of Radiology, University of Erlangen-Nürnberg, 91054 Erlangen, GermanyDepartment of Pathology, University of Erlangen-Nürnberg, 91054 Erlangen, GermanyDepartment of Pathology, University of Erlangen-Nürnberg, 91054 Erlangen, GermanyDepartment of Radiology, University of Erlangen-Nürnberg, 91054 Erlangen, GermanyDepartment of Pathology, University of Erlangen-Nürnberg, 91054 Erlangen, GermanyWe present the case of a 55-year-old patient with a history of chemotherapy and bone marrow transplantation because of acute myeloid leukaemia. An incidental 4 × 3 cm measuring renal mass was detected while performing a magnetic resonance imaging (MRI) for lumbago. The lesion was suspected to be either a renal cell carcinoma (RCC) or a leukemic infiltration. To decide about further treatment a percutaneous core needle biopsy was performed. Histology showed a monotypic angiomyolipoma, a relatively rare benign renal lesion. Interestingly, in cross-sectional imaging, angiomyolipoma was not taken into differential diagnostic account because of lack of a fatty component. Due to bleeding after biopsy the feeding artery of the tumor was occluded by microcoils. This case demonstrates the utility of biopsy of renal tumors, in particular when small tumor-like lesions are incidentally detected to decide about the right treatment and thereby avoiding nephrectomy.http://dx.doi.org/10.1155/2012/906924
spellingShingle Verena Kufer
Siegfried A. Schwab
Maike Büttner
Abbas Agaimy
Michael Uder
Kerstin Amann
Incidental Monotypic (Fat-Poor) Renal Angiomyolipoma Diagnosed by Core Needle Biopsy
Case Reports in Medicine
title Incidental Monotypic (Fat-Poor) Renal Angiomyolipoma Diagnosed by Core Needle Biopsy
title_full Incidental Monotypic (Fat-Poor) Renal Angiomyolipoma Diagnosed by Core Needle Biopsy
title_fullStr Incidental Monotypic (Fat-Poor) Renal Angiomyolipoma Diagnosed by Core Needle Biopsy
title_full_unstemmed Incidental Monotypic (Fat-Poor) Renal Angiomyolipoma Diagnosed by Core Needle Biopsy
title_short Incidental Monotypic (Fat-Poor) Renal Angiomyolipoma Diagnosed by Core Needle Biopsy
title_sort incidental monotypic fat poor renal angiomyolipoma diagnosed by core needle biopsy
url http://dx.doi.org/10.1155/2012/906924
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