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

  1. NA: not available.