صفحه اصلی
ویدئو ها
کتاب های الکترونیکی
مهارت های اولیه جراحی
دانش
نور و حقیقت
مطالعه موردی هفته
اخبار و رویدادها
درباره ما
A
A
A
Farsi
English
Farsi
منو
دسته بندی ها
Open
Endourology
Cystoscopy
Simple
Ueretroscopy
Lap
DJ Remove
Robotic
Dj Insertion
TUL
PCNL
Litolapaxy
Internal Uerethrotomy
Kidney
Prostate
Ureter
Urethra
Bladder
Varicocele
Hernie
Pelvice
RPLND
Penis
Testis
Infertility
Female Surgery
نوع
اسناد
تصاویر
ویدئو
دسته بندی ها
صفحه اصلی
ویدئو ها
کتاب های الکترونیکی
مهارت های اولیه جراحی
دانش
نور و حقیقت
مطالعه موردی هفته
اخبار و رویدادها
درباره ما
Farsi
English
Farsi
بازگشت به لیست
patchology station/Renal Angiomyolipoma
امتیاز:
اشتراک در شبکه های اجتماعی
دانلود فایل
دکتر حامد داداش کریمی
متخصص اورولوژی
تاریخ درج:
1397/09/29
تعداد بازدید:
130
دسته بندی:
Kidney
توضیحات
Renal Angiomyolipoma
Benign tumor composed of fat, smooth muscle cells and thick-walled vessels; believe to originate from
perivascular epithelioid cells
(PEC) (aka,
PEComa
).
Related to other PEComas such as lymphangioleiomyomatosis, "sugar" tumor of lung, cardiac rhabdomyomas, etc.
May arise in association with
tuberous sclerosis:
>50% of patients with TS develop AMLs; <50% of AML has TS.
Tend to be asymptomatic, bilateral, small, and multiple.
Associated with genetic alteration in TSC1 (chr 9q34) and TSC2 (chr 16p13.3).
Abundant fat containing tumor recognizable radiologically.
Gross:
Range from 1-20 cm (average 9 cm).
Golden-yellow appearance is common, but depends on the ratio (>fat looks like lipoma; > smooth muscle looks like leiomyoma)
(image A)
.
Usually well-demarcated but not encapsulated.
May show local "invasion" or extension into perinephric or sinus fat.
Consists of varying amounts of smooth muscle cells, mature fat and thick-walled vessels
(image B)
and
(image C)
.
Vessels abnormal, often hyalinized and thick with eccentric lumen.
Smooth muscle cells appear to originate and "radiate" off the vessels
(image D)
.
AML with benign epithelial cysts (AMLEC) is a rare variant.
Histology:
IHC:
spindle cells reactive with melanoma marker (HMB-45+, Mart1+) and actin+ thereby distinguishing it from other spindle cell lesions of the kidney.
DDX: lipoma (for fat predominant AML), leiomyoma (for smooth muscle predominant AML).
Surgical intervention recommended for tumors >4 cm (retroperitoneal hemorrhage is common complication)
دیدگاه ها: 51
Chung Gon
1400/07/25 01:17:37 ب.ظ
I waas recommended this blog threough my cousin. Ι am no ⅼonger sure wheter or not tһіs post іѕ written thrⲟugh him aas nobοdy eⅼse recoggnise sᥙch distinct аbout mmy difficulty.
Үou're wonderful! Thank you!
Huon de Kerilleau
1400/07/20 08:07:10 ق.ظ
Excellent post. I was checking constantly this blog and I
am impressed! Very useful info specially the
last part :) I care for such info much. I was looking
for this certain information for a long time. Thank you and best of luck.
Cato
1400/07/20 05:34:39 ق.ظ
Hi my friend! I wish to say that this article is awesome,
great written and include approximately all significant infos.
I would like to see extra posts like this .
Bormann
1400/07/06 02:50:59 ق.ظ
I feel that is one of the most important information for me.
And i'm glad reading your article. However want to observation on few common things, The web site style is ideal, the articles is truly excellent : D.
Just right task, cheers
Turpin
1400/07/03 09:35:37 ب.ظ
whoah this blog is excellent i love reading your posts. Keep up
the great work! You recognize, lots of people are hunting
round for this info, you could help them greatly.
Betche
1400/07/03 01:37:23 ب.ظ
I really like your writing style, superb information, thank
you for posting :D.
Buncle
1400/06/31 03:47:27 ب.ظ
Hey very nice blog!! Guy .. Excellent .. Superb .. I will bookmark your website and take the feeds additionally...I am
glad to search out so many useful info right here within the post, we need develop more
techniques in this regard, thanks for sharing.
Gardner
1400/06/30 12:46:49 ب.ظ
I'm not sure why but this weblog is loading incredibly slow for me.
Is anyone else having this problem or is it a issue on my end?
I'll check back later on and see if the problem still exists.
Caldwell
1400/06/27 06:30:21 ق.ظ
Truly when someone doesn't understand after that its up to other viewers that they will
assist, so here it takes place.
Dannevig
1400/06/27 06:24:19 ق.ظ
Wow, awesome blog layout! How long have you been blogging for?
you made blogging look easy. The overall look of your site is magnificent,
as well as the content!
Garris
1400/06/26 11:00:24 ب.ظ
Thank you for sharing with us, I think this website truly stands out :
D.
Nobles
1400/06/18 05:20:36 ب.ظ
When I initially left a comment I seem to have clicked the -Notify me
when new comments are added- checkbox and now every time a comment is added I recieve 4
emails with the same comment. Is there an easy method you are able to
remove me from that service? Kudos!
Goodin
1400/06/17 03:31:59 ب.ظ
Some truly interesting details you have written.Helped me a
lot, just what I was looking for :D.
Dimattia
1400/06/13 03:54:47 ب.ظ
Hello. remarkable job. I did not anticipate this.
This is a impressive story. Thanks!
Dynon
1400/06/12 08:55:46 ق.ظ
Excellent goods from you, man. I have understand your stuff previous to and you're
just extremely excellent. I actually like what you've acquired here,
certainly like what you are stating and the way in which you say it.
You make it enjoyable and you still take care of to keep it smart.
I can't wait to read far more from you. This is actually a tremendous website.
Bracewell
1400/06/09 05:16:08 ب.ظ
Wohh precisely what I was searching for, appreciate it for
posting.
Marcus
1400/05/16 07:56:24 ق.ظ
Hiya, I am really glad I've found this info. Nowadays bloggers publish just
about gossips and internet and this is actually annoying.
A good blog with exciting content, that's what I need. Thank you for keeping this web-site,
I will be visiting it. Do you do newsletters? Can't
find it.
Creamer
1400/05/13 03:06:58 ق.ظ
Nice post. I was checking constantly this blog and I am impressed!
Extremely helpful information specially the last part :) I care for
such information much. I was looking for this particular info for a very long time.
Thank you and best of luck.
Becker
1400/05/05 01:20:36 ب.ظ
I'm commenting to make you understand what a wonderful discovery my cousin's
princess went through browsing your site. She figured out
a lot of things, most notably how it is like to possess a great giving
mindset to make others really easily learn about specified complicated things.
You truly surpassed our own expected results. Many thanks for rendering the productive, dependable,
informative and even cool tips about this topic to Gloria.
Thornton
1400/04/29 10:54:43 ب.ظ
Respect to article author, some great entropy.
Faunce
1400/04/26 09:00:25 ب.ظ
Hi! I could have sworn I?ve visited this website before but
after going through some of the articles I realized
it?s new to me. Nonetheless, I?m definitely happy I found it and I?ll be book-marking it and checking back
frequently!
Govan
1400/04/14 06:20:58 ق.ظ
I just wanted to post a quick remark so as to express gratitude to you for some of the stunning facts
you are giving out at this site. My time intensive internet
look up has at the end been paid with wonderful suggestions to
talk about with my guests. I would tell you that many of us visitors
actually are definitely fortunate to live in a fantastic place with very many lovely individuals
with valuable tips and hints. I feel quite privileged
to have used the web page and look forward to so many more exciting times reading here.
Thanks once again for all the details.
Radcliffe
1400/04/13 04:05:12 ب.ظ
Yes! Finally something about 7 keto weight loss.
Vale
1400/04/13 03:27:52 ب.ظ
Of course, what a splendid website and revealing posts, I definitely
will bookmark your website.Best Regards!
Mello
1400/04/13 12:13:03 ب.ظ
It's genuinely very difficult in this active life to listen news on TV, therefore I only use world wide web for that reason, and get the most recent information.
Hunter
1400/04/13 09:33:33 ق.ظ
Hey there! I know this is kinda off topic but I was wondering if you knew where I could get a captcha plugin for my comment
form? I'm using the same blog platform as yours and I'm having problems finding one?
Thanks a lot!
Macgroarty
1400/04/11 05:22:57 ب.ظ
Thank you for sharing with us, I conceive this website genuinely
stands out :D.
O'Donnell
1400/04/11 08:32:45 ق.ظ
Your mode of describing all in this post is truly nice, every one
be capable of easily know it, Thanks a lot.
Andes
1400/04/09 12:38:55 ب.ظ
Link exchange is nothing else except it is just
placing the other person's blog link on your page at suitable place and other person will also do same in favor of you.
Bard
1400/04/06 08:12:51 ب.ظ
I am constantly thought about this, thanks for putting
up.
Dyason
1400/04/06 03:36:51 ب.ظ
I absolutely love your site.. Pleasant colors
& theme. Did you build this amazing site yourself?
Please reply back as I'm planning to create my very own site and would like to
know where you got this from or just what the theme is named.
Kudos!
Boynton
1400/04/06 12:31:50 ب.ظ
Hey very nice blog!
Espino
1400/04/06 10:59:56 ق.ظ
Its fantastic as your other posts :D, regards for putting up.
Maum
1400/04/04 04:24:42 ب.ظ
Hi! I could have sworn I've been to this website before but
after browsing through many of the posts I realized it's new to me.
Anyways, I'm certainly happy I discovered it and I'll be bookmarking it
and checking back often!
Seiler
1400/04/03 02:40:46 ق.ظ
Howdy! This is my first comment here so I just wanted to give a quick shout out and tell you I genuinely enjoy reading through your articles.
Can you suggest any other blogs/websites/forums that go over the same topics?
Thanks for your time!
Tisdale
1400/04/03 01:30:20 ق.ظ
I visit everyday a few websites and information sites to read articles or reviews, except this webpage provides feature based posts.
Barrientos
1400/04/03 01:24:47 ق.ظ
Link exchange is nothing else except it is only placing the other person's blog link on your page at appropriate place and other person will also do same in favor of you.
Harwell
1400/04/01 06:12:14 ق.ظ
As soon as I discovered this web site I went on reddit to share some of the love with them.
Wilton
1400/03/31 05:34:09 ب.ظ
Excellent post. I am dealing with some of these issues as well..
Grillo
1400/03/31 04:11:34 ب.ظ
Thanks for a marvelous posting! I certainly enjoyed reading it, you might be a great author.
I will always bookmark your blog and will come back someday.
I want to encourage you continue your great writing, have
a nice day!
Roten
1400/03/31 12:09:10 ب.ظ
Hello There. I found your blog using msn.
This is an extremely well written article. I'll be sure to bookmark it
and come back to read more of your useful information. Thanks for the post.
I'll certainly return.
Borders
1400/03/31 10:05:28 ق.ظ
Good day! I could have sworn I've been to this website
before but after browsing through many of the articles I realized it's new
to me. Regardless, I'm definitely happy I came across it and I'll be
book-marking it and checking back often!
Buley
1399/06/06 06:35:21 ق.ظ
I don't know if it's just me or if everyone else encountering problems with your blog.
It appears as though some of the written text in your posts are
running off the screen. Can somebody else please provide feedback and let me know if this is happening to them too?
This could be a issue with my internet browser because I've had this happen before.
Thank you
Flatt
1399/05/20 10:55:54 ب.ظ
Hi there! I know this is kinda off topic however , I'd figured I'd ask.
Would you be interested in exchanging links or maybe guest authoring a
blog post or vice-versa? My website addresses a lot of the same subjects as yours and I think we
could greatly benefit from each other. If you might be interested feel free to send me
an e-mail. I look forward to hearing from you! Terrific blog
by the way!
Riley
1399/05/09 05:44:08 ب.ظ
Thanks , I've just been searching for information about this subject for
a while and yours is the best I have found out till now.
But, what concerning the conclusion? Are you sure concerning the supply?
adreamoftrains web hosting providers
Jeppesen
1399/05/06 01:17:24 ق.ظ
Way cool! Some extremely valid points! I appreciate you penning this write-up plus the rest of the site is very good.
Hennessy
1399/05/01 07:39:53 ق.ظ
I quite like looking through a post that can make people think.
Also, thank you for allowing me to comment!
Hallstrom
1399/04/28 07:42:56 ق.ظ
Hello there, I discovered your blog by the use of Google while searching for a
comparable matter, your site came up, it looks good.
I've bookmarked it in my google bookmarks.
Hello there, just become aware of your weblog via Google,
and located that it is really informative. I am gonna be careful for
brussels. I'll appreciate should you continue this in future.
Many other people will probably be benefited from your writing.
Cheers!
Villanueva
1399/04/07 04:53:37 ب.ظ
I have been browsing online more than three hours today, yet I never found any interesting article like yours.
It's pretty worth enough for me. Personally,
if all site owners and bloggers made good content as you did, the internet
will be much more useful than ever before.
Moorman
1399/04/07 03:57:16 ق.ظ
It's the best time to make some plans for the future and it is time to be happy.
I have read this post and if I could I want to suggest you
few interesting things or advice. Perhaps you can write next articles referring to this article.
I want to read more things about it!
Thynne
1399/04/02 11:38:55 ق.ظ
Hey I know this is off topic but I was wondering if you knew of any widgets I could add to my blog that
automatically tweet my newest twitter updates.
I've been looking for a plug-in like this for quite some time and was hoping maybe you would have some experience with something
like this. Please let me know if you run into anything.
I truly enjoy reading your blog and I look forward to your new updates.
بیان دیدگاه
امتیاز شما:
نام کاربر:
لطفا نام خود را وارد کنید.
آدرس سایت
ایمیل شما:
آدرس ایمیل صحیح نیست.
لطفا آدرس ایمیل خود را وارد کنید:
کد امنیتی را وارد کنید:
متن پیام :
لطفا پیام خود را وارد کنید.