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MedPix™ Case: 2082 - Medical Image Database, Teaching File, and Radiology Atlas

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Tuberous Sclerosis :: Dx by -

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Image Contributor/Source: J G Smirniotopoulos, M.D.
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Tuberous Sclerosis ::

Tuberous Sclerosis. Angiomyolipoma.
Gross Pathology :: GR - Gross photograph || ACR Codes: 1.3
Gross photograph.
There is a very large angiomyolipoma of the upper pole. There are innumerable smaller yellowish masses involving the entire kidney. These are angiomyolipomas (AML's) - a hamartomatous mass composed of:
>vessels
>smooth muscle
>mature adult fat

Solitary AML's are usually seen in women of child bearing age, and are usually sporadic. However, AML in a man, and/or multiple AML suggest Tuberous Sclerosis.
Original Source: J G Smirniotopoulos, M.D.
Submitted by: James G. Smirniotopoulos, M.D. - Click for Author Information
Affiliation: Uniformed Services University

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