Table 3 Clinicopathologic features of the study group
From: Cystic angiomyolipoma of the kidney: a clinicopathologic description of 11 cases
Age (years) | Sex | Side | Clinical presentation | Imaging | Treatment | Gross pathology | |
|---|---|---|---|---|---|---|---|
Case 1 | 61 | F | L | Incidental finding | Retrograde pyelogram: large cyst distorting pelvocalyceal system. Brown's fluid aspirated | Nephrectomy | 6.0 cm upper pole cyst with focal nodular luminal contour |
Case 2 | 45 | F | R | Intermittent flank pain and and gross hematuria for 2 months | Excretory urogram: Right lower pole mass | Nephrectomy | Circumscribed 3.5 cm yellow-gray tumor |
Case 3 | 21 | F | R | NA | NA | Nephrectomy | 5.0 cm cyst in upper pole. Lower pole: tan, hemorrhagic 7 × 4 × 3 cm3 mass |
Case 4 | 37 | F | R | Incidental finding in diabetic nephropathy | Vascular lower pole tumor by angiography | Partial nephrectomy | A ‘partially cystic’ gray-white tumor 5 × 4 × 3 cm3 |
Case 5 | 39 | F | L | Retroperitoneal hemorrhage with acute abdomen from ruptured vessel in hilus | NA | Nephrectomy | Tumor obscured by extensive hemorrhage at renal hilus |
Case 6 | 20 | M | L | Recurrent hematuria several months before and after flank trauma | Mass in the lower pole | Partial nephrectomy | A 5.0 cm cyst filled with blood clot |
Case 7 | 70 | M | R | NA | NA | Partial nephrectomy | A 2.0 cm cyst with folding of luminal contour. 4 × 3 cm2 nodule in wall of cyst |
Case 8 | 27 | F | R | NA | CT scan: 2.5 cm, largely exophytic cyst with some peripheral enhancement | Nephrectomy | A 3 × 2.7 × 2 cm3 cystic mass protrudes from renal surface. Cut surface: multicystic |
Case 9 | 61 | F | R | Incidental finding on metastatic survey for lung cancer | Ultrasound: complex exophytic cyst laterally, with septations. 3.8 × 3 × 2.6 cm3 solid mass in lower pole | Nephrectomy | Hemorrhagic capsular cyst 5 × 4 × 2.5 cm3 laterally. Lower pole: 3.5 × 3.1 × 2.5 cm3 mass |
Case 10 | 50 | M | R | NA | NA | Partial nephrectomy | White-tan nodule. Size not given |
Case 11 | 67 | M | L | NA | NA | Excision | Exophytic mass 3 × 2.7 × 1.8 cm3 with a 2.7 cm cyst with clear fluid |