Don't be fooled by the fat: A rare case of renal cell carcinoma with intratumoural fat

Abstract

Angiomyolipoma (AML) is a benign renal tumour composed of fat, smooth muscle and blood vessels. Radiologic evidence of macroscopic fat within a solid renal lesion on computed tomography was historically thought to be pathognomonic for this condition. Herein, we report a case of an incidental solid renal cell mass with multiple foci of intra-tumoral fat, which was shown to be a clear cell renal cell carcinoma (RCC) at nephrectomy. Macroscopic fat within solid renal lesions does not exclude malignancy, evaluation of other radiologic features is necessary when RCC is suspected.

Keywords

Case report, macroscopic fat, renal cell carcinoma (RCC), diagnosis, malignancy

Link to Publisher Version (URL)

https://doi.org/10.1016/j.eucr.2019.101112

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