Fig. 4.
Clinical manifestations of hereditary leiomyomatosis and renal cell carcinoma. (A) Multiple cutaneous leiomyomas in an HLRCC patient. (B) CT image showing multiple large uterine leiomyomas (arrows) that occur in HLRCC. (C) Para-aortic nodal disease (arrow) and (D) renal tumor (arrow) in patients with HLRCC. Adapted and reprinted with permission [60].