Angiomyolipoma 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. The fat density of the tumour on
CT has been regarded to be
pathognomonic, although there are now case reports of renal cell carcinoma types also possessing macroscopic fat.
The lesion is well demarcated and contains mature elements. It occurs in more than 50% of individuals with tuberous sclerosis, often bilaterally. Angiomyolipomata also occur in 40% of women who have a rare, cystic lung disease called lymphangioleiomyomatosis, or LAM.
See also
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