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Benign Kidney Tumours
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==== Imaging ==== * '''<span style="color:#ff0000">The only benign renal tumour that is confidently diagnosed on imaging</span>''' ** '''<span style="color:#ff0000">Presence of fat (β€-20 HFU) within a renal lesion is considered a diagnostic landmark</span>''' *** '''<span style="color:#ff0000">Other lesions that can contain fat (2):</span>''' **** '''<span style="color:#ff0000">Liposarcoma</span>''' ***** '''Should be considered in the differential of a fat-containing retroperitoneal tumour''' *****Can distinguish from RCC by whether mass originates from kidney or retroperitoneum, the latter of which may displace kidney **** '''<span style="color:#ff0000">Fat-containing RCC</span>''' ***** '''In RCC, the fat is thought to be a reactive process related to tumor necrosis.''' *** '''<span style="color:#ff0000">β5% of AMLβs are fat poor</span>''' **** '''<span style="color:#ff0000">Fat-poor AML can be difficult to distinguish from RCC</span>''' **** '''<span style="color:#ff0000">Calcification is virtually never seen in association with AML</span>''' ***** '''<span style="color:#ff0000">Clinical implication: presence of fat with calcification is suggestive of RCC</span>''' ** '''MRI can be used in difficult cases when the lesion has minimal fat''' ***'''A T2-weighted image with fat suppression is most likely to identify macroscopic fat and confirm the diagnosis of an angiomyolipoma (AML).'''
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