Table I.
Prognostic stratification models to predict clinical behavior of epithelioid angiomyolipoma.
| Study | Classification | Criteria |
|---|---|---|
| Brimo et al.18 | Benign epithelioid angiomyolipoma with atypia (≤ 2 adverse parameters) | 1) ≥ 70% atypical epithelioid cells |
| 2) ≥ 2 mitotic figures per 10 HPF | ||
| Malignant epithelioid angiomyolipoma with atypia (≥ 3 adverse parameters) | 3) Atypical mitoses | |
| 4) Detection of necrosis | ||
| Nese et al.19 | Low-risk group (0-1 worrisome features) | 1) Evidence of TSC and/or concurrent angiomyolipoma |
| 2) Large tumor size (> 7 cm) | ||
| Intermediate-risk group (2-3 worrisome features) | 3) Histological pattern A | |
| 4) Extrarenal extension and/or involvement of renal vein | ||
| High-risk group (4-5 worrisome features) | 5) Detection of necrosis |
Abbreviations: HPF: high power field; TSC: Tuberous Sclerosis Complex.