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Soft Tissue Masses Jon A. Jacobson David P. Fessell INTRODUCTION Ultrasound is routinely used to evaluate palpable soft tissue masses.1 Ultrasound differentiates cystic from solid masses, which often require biopsy to exclude malignancy,2 and can identify superficial soft tissue tumor margins and local tumor spread.3 Limitations primarily relate to evaluation of deep soft tissue structures,… Ultrasound Cases. Home; Cases; Select Category Abdomen and retroperitoneum. 1.1 Liver 1.2 Gallbladder and bile ducts 1.3 Pancreas 1.4 Spleen 1.5 Appendix 1.6 Ultrasound, CT or MRI alone result in correct diagnosis in < 33% of patients (Clin Radiol 2020;75:88) Ultrasound + CT + MRI with or without angiography result in correct diagnosis in 52% of patients (J Surg Oncol 2011;103:807) Ultrasound The classical appearance of a fat-rich AML on ultrasound (US) is that of a hyperechoic lesion with a posterior acoustic shadow (Figure 1 ). The hyperechoic nature of a classic AML is the result of the combination of its fat, blood vessel, and muscle contents, while the shadowing is due to the multiple tissue interfaces between those different elements [ 11 ].
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1.1 Liver 1.2 Gallbladder and bile ducts 1.3 Pancreas 1.4 Spleen 1.5 Appendix 1.6 Ultrasound, CT or MRI alone result in correct diagnosis in < 33% of patients (Clin Radiol 2020;75:88) Ultrasound + CT + MRI with or without angiography result in correct diagnosis in 52% of patients (J Surg Oncol 2011;103:807) Ultrasound The classical appearance of a fat-rich AML on ultrasound (US) is that of a hyperechoic lesion with a posterior acoustic shadow (Figure 1 ). The hyperechoic nature of a classic AML is the result of the combination of its fat, blood vessel, and muscle contents, while the shadowing is due to the multiple tissue interfaces between those different elements [ 11 ]. The author has previously noted that angiolipoma is considered as one of the painful cutaneous and subcutaneous tumors accompanied with vascularized appearance using high-resolution ultrasound in dermatology [15]. Angiolipoma also tends to be smaller than 20 mm [20]. The natural history of renal angiomyolipoma is not well delineated. Current management options include observation, embolization, and partial or total nephrectomy. Recommendations for treatment are usually based on the patient's symptoms or the size of the lesion.
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He was the head of the ultrasound department for many years. that angiolipoma is considered as one of the painful cutaneous and subcutaneous tumors accompanied with vascularized appearance using high-resolution ultrasound in dermatology [15]. Angiolipoma also tends to be smaller than 20 mm [20].
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Could be indistinguishable from a hemangioma 1. J Ultrasound Med 2016; 35:2421–2429 2423 Shin et al—Sonographic Differentiation Between Angiolipomas and Superficial Lipomas Figure 1. Flowchart of study participants. The numbers in parentheses are the numbers of patients. AL indicates angiolipoma; and SL, superficial lipoma. 3511jum2413-2458 copy 10/25/16 1:47 PM Page 2423 A, Subcutaneous angiolipoma (arrows) showing the typical hyperechoic appearance with occasional small internal hypoechoic areas (sagittal plane).
Under the diagnosis of an intrascrotal solid mass, a right inguinal radical orchiectomy was performed. Histopathological examination concluded to a paratesticular
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Ultrasound examination of kidney reveals increased size of kidney with tumor. Ultrasound of brain, liver and other soft tissue are also performed to rule out tumor in other organs. Tuberous Sclerosis is often associated with Kidney Angiomyolipoma. Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014.
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Finally, we conclude that angiolipoma of the breast may contain microcalcification mimicking breast carcinoma on mammogram. Abdominal ultrasound (US) revealed concentric circles in the right abdomen. Finally, partial enterectomy was performed. Postoperative histopathologic examination showed angiolipoma of the terminal ileum. During the 3-year follow-up, the patient showed no recurrence.
In the case of less fat content and excess vascular component, angiomyolipoma can be seen as a heterogeneous hypoechoic mass lesion.
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Frequent low-level mutations of Protein Kinase D2 in angiolipoma · Jakob Hofvander, Elsa Arbajian, Karin G Stenkula, Karin Lindkvist-Petersson, Malin Larsson, Frequent low-level mutations of Protein Kinase D2 in angiolipoma Fredrik Vult von Steyern & Einar Arnbjörnsson, 2008, In : Journal of Ultrasound in Medicine. Frequent low-level mutations of protein kinase D2 in angiolipoma2017Ingår i: agent in rats using ultrasound and transmission electron microscopy2015Ingår i: Frequent low-level mutations of protein kinase D2 in angiolipoma2017Inngår i: in rats using ultrasound and transmission electron microscopy2015Inngår i: OR "mammary ultrasonography".af. OR ("ultrasonography".af.
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Histologically, it contains mature lipocytes intermixed with a proliferation of thin-walled capillaries.