Computerized tomography characteristics that differentiate angiomyolipomas from liposarcomas in the perinephric space

Li Jen Wang, Yon Cheong Wong, Chi Jen Chen, Lai Chu See

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Purpose: We performed a retrospective study to determine computerized tomography (CT) findings associated with perinephric angiomyolipomas or perinephric liposarcomas. Materials and Methods: During the last 7 years 6 patients with perinephric angiomyolipoma and 12 with perinephric liposarcoma were seen at our hospital. Two radiologists who were blinded to the pathological diagnosis retrospectively evaluated the CT characteristics of perinephric angiomyolipoma and perinephric liposarcoma. The relationship of each CT characteristic with tumor type was compared using Fisher's exact test. Results: The CT characteristics of perinephric angiomyolipoma were intratumoral linear vascularity (p = 0.001), aneurysmal dilatation (p = 0.025), bridging vessel sign (p = 0.005), hematoma (p = 0.025), beak sign (p = 0.001) and discrete intrarenal fatty tumors (p = 0.025). The CT characteristic of perinephric liposarcoma was a nonfatty soft tissue mass (p = 0.005). There was no significant difference in the presence of calcifications in both groups. Conclusions: This retrospective study suggests that analysis of CT characteristics (linear vascularity, aneurysmal dilatation, bridging vessel sign, hematoma, beak sign and discrete intrarenal fatty tumors) may help to differentiate perinephric angiomyolipoma from perinephric liposarcoma.

Original languageEnglish
Pages (from-to)490-493
Number of pages4
JournalJournal of Urology
Volume167
Issue number2 I
Publication statusPublished - 2002
Externally publishedYes

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Angiomyolipoma
Liposarcoma
Tomography
Beak
Lipoma
Hematoma
Dilatation
Retrospective Studies
Neoplasms

Keywords

  • Angiomyolipoma
  • Liposarcoma
  • X-ray computerized tomography

ASJC Scopus subject areas

  • Urology

Cite this

Computerized tomography characteristics that differentiate angiomyolipomas from liposarcomas in the perinephric space. / Wang, Li Jen; Wong, Yon Cheong; Chen, Chi Jen; See, Lai Chu.

In: Journal of Urology, Vol. 167, No. 2 I, 2002, p. 490-493.

Research output: Contribution to journalArticle

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