Nova Southeastern University College of Medicine, Florida, USA.
Aventura Hospital and Medical Center, Florida, USA.
J Radiol Case Rep. 2021 Aug 1;15(8):18-26. doi: 10.3941/jrcr.v15i8.4125. eCollection 2021 Aug.
We report the case of a 45-year-old woman who presented with a large palpable abdominal mass. Initial sonographic and computed tomographic studies prompted a differential diagnosis of retroperitoneal or renal sarcoma, leiomyoma, and lipid-poor angiomyolipoma. A final diagnosis of renal leiomyoma was reached based on a consensus among radiology, surgery and pathology. In addition to reviewing the features of this entity, this case demonstrates the process of developing a working diagnosis, narrowing the differential as zadditional testing is performed and establishing a final diagnosis with interdepartmental coordination. Despite the rarity of this condition, the ability to recognize and apply imaging features to differentiate between abdominal masses of unknown origin is important for clinicians and researchers.
我们报告了一例 45 岁女性，她因巨大可触及的腹部肿块就诊。最初的超声和计算机断层扫描研究提示后腹膜或肾肉瘤、平滑肌瘤和乏脂性血管平滑肌脂肪瘤的鉴别诊断。根据放射科、外科和病理科的共识，最终诊断为肾平滑肌瘤。除了回顾该实体的特征外，本病例还展示了建立诊断的过程，随着附加检查的进行缩小鉴别范围，并通过跨部门协作建立最终诊断。尽管这种情况很少见，但对于临床医生和研究人员来说，识别和应用影像学特征来区分来源不明的腹部肿块是很重要的。
