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26-08-09, 11:40 PM
http://www.pathconsultddx.com/images/S1559867506700912/gr2-sml.jpg
Bình thường:
http://www.lsuhsc.org/renal_pathology/images/case1-shot1.png

Harmatoma:
http://upload.wikimedia.org/wikipedia/commons/a/a3/Renal_angiomyolipoma_(1).jpg

DefinitionAngiomyolipoma is a benign renal neoplasm previously considered to be a hamartoma or choristoma, but now known to be neoplastic. It is composed of variable amounts of fat, vascular, and smooth muscle elements.

Clinical Features
*Usually adult
*May:
1.be found incidentally
2.result in retroperitoneal hemorrhage, which can be massive and even fatal
3.be associated with tuberous sclerosis:
≈33% of patients, the incidence being higher if the tumors are multiple or bilateral)
≈80% of patients with the complete or severe form of tuberous sclerosis have renal angiomyolipomas
4.be associated with the genetic disease known as TSC2/PKD1 contiguous gene syndrome (closely related to tuberous sclerosis)3
*Occasionally coexists with:

renal cell carcinoma
collecting duct carcinoma
adenoma
oncocytoma
Metastases
Rare but retroperitoneal deposits or nodules in the lung and other organs. Hamartoma (loạn sản phôi)

http://www.surgicalroundsonline.com/content/SR/2007/05/img/SR200705_f14.jpg