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. 2010 Jun 1;4(6):21–27. doi: 10.3941/jrcr.v4i6.439

Table 2.

Summary table for angiomyolipoma

Etiology Neoplasms of “perivascular epithelioid cells”
Incidence 0.1 to 0.22 % in general population
20% in tuberous sclerosis complex
Gender ratio F: M = 4:1
Age predilection Middle aged female
Imaging features US: hyperechoic mass. “to and fro” color pattern on Doppler in aneurysm.
CT: mass with fat attenuation. Calcification is absent. Aneurysm seen as a vascular enhancing mass with or without thrombosis in arterial phase
MRI: bright mass on T1, T2 with drop in signal on fat suppressed sequences.
Complications Aneurysm formation, rupture, hemodynamic instability, secondary infection
Predictors of aneurysm rupture Aneurysm formation common in Tuberous sclerosis.
Mean tumor diameter: 11.4 cm
Mean aneurysm diameter: 13.3 mm
Risk factors for tumor rupture Pregnancy, large tumor and aneurysm size (see above).
Prognosis Tumor recurrence very rare in sporadic cases. In TSC, contra lateral tumor recurrence reported.
Treatment options Symptomatic rupture: embolisation/partial/radical nephrectomy.
Small/asymptomatic aneurysm: embolisation.