Ferrara Dolores, Vallone Gianfranco, Tedeschi Enrico, Ponsiglione Andrea, Stanzione Arnaldo, Pisani Antonio, Imbriaco Massimo
Department of Advanced Biomedical Sciences, University "Federico II," Naples, Italy.
Department of Public Health, Nephrology Unit, University "Federico II," Naples, Italy.
Acta Radiol Open. 2018 Dec 6;7(12):2058460118806328. doi: 10.1177/2058460118806328. eCollection 2018 Dec.
Tuberous sclerosis (TS) is a relatively rare multi-organ disorder generally diagnosed in infancy and described as a clinical triad of sebaceous adenoma, mental retardation, and seizures. Angiomyolipoma (AML) is the most common benign renal tumor usually found incidentally as a solitary small echogenic lesion on grayscale ultrasound. Less commonly, it is part of the TS complex and is seen as multiple lesions in both kidneys. We describe an unusual case of TS incidentally diagnosed in a 37-year-old female patient with several and bilateral renal AMLs and a single cortical-subcortical tuber in the right parieto-occipital cerebral lobe.
结节性硬化症(TS)是一种相对罕见的多器官疾病,通常在婴儿期被诊断出来,其临床特征为皮脂腺腺瘤、智力迟钝和癫痫发作三联征。肾血管平滑肌脂肪瘤(AML)是最常见的肾脏良性肿瘤,通常在灰阶超声检查中偶然发现为单个小的高回声病灶。较少见的情况下,它是结节性硬化症复合体的一部分,表现为双侧肾脏的多个病灶。我们报告了一例罕见的结节性硬化症病例,该病例偶然发现于一名37岁女性患者,其双侧肾脏有多个肾血管平滑肌脂肪瘤,右侧顶枕叶脑叶有一个皮质-皮质下结节。