rentradВестник рентгенологии и радиологииJournal of radiology and nuclear medicine0042-46762619-0478Limited Liability Company "LUCHEVAYA DIAGNOSTIKA", Russian Association of Radiologists10.20862/0042-4676-2021-102-5-304-310rentrad-670Research ArticleКЛИНИЧЕСКИЕ СЛУЧАИCASE REPORTSГигантская ангиомиолипома почки на примере клинических наблюденийGiant Renal Angiomyolipoma by the Example of Clinical Caseshttps://orcid.org/0000-0002-2566-9881ЯдренцеваС. В.YadrentsevaS. V.

Ядренцева Светлана Владимировна, к. м. н., врач-рентгенолог отделения лучевой диагностики; врач-рентгенолог консультативного отдела

ул. Староволынская, 10, Москва, 121352;

ул. Средняя Калитниковская, 28, стр. 1, Москва, 109029

Svetlana V. Yadrentseva, Cand. Med. Sc., Radiologist, Radiology Department; Radiologist, Advisory Department

ul. Starovolynskaya, 10, Moscow, 121352;

ul. Srednyaya Kalitnikovskaya, 28, str. 1, Moscow, 109029

https://orcid.org/0000-0001-5994-0468НудновН. В.NudnovN. V.

Нуднов Николай Васильевич, д. м. н., профессор, зам. директора по научной работе, заведующий научно-исследовательским отделом комплексной диагностики заболеваний и радиотерапии

ул. Профсоюзная, 86, стр. 1, Москва, 117997

Nikolay V. Nudnov, Dr. Med. Sc., Professor, Deputy Director for Research, Head of Research Department of Complex Diagnosticsof Diseases and Radiotherapy

ul. Profsoyuznaya, 86, str. 1, Moscow, 117997

nudnov@rncrr.ruhttps://orcid.org/0000-0001-6430-9590ГасымовЭ. Г.GasymovEmil’ G.

Гасымов Эмиль Гадирович, врач-ординатор

ул. Маршала Тимошенко, 19, стр. 1А, Москва, 121359

Emil’ G. Gasymov, Resident Physician

ul. Marshala Timoshenko, 19, str. 1А, Moscow, 121359

ФГБУ «Клиническая больница № 1» Управления делами Президента Российской Федерации; ГБУЗ «Научно-практический клинический центр диагностики и телемедицинских технологий» Департамента здравоохранения г. МосквыРоссияClinical Hospital No. 1, Presidential Administration of the Russian Federation; Scientific and Practical Clinical Center for Diagnostics and Telemedicine TechnologiesRussian FederationФГБУ «Российский научный центр рентгенорадиологии» МинздраваРоссияRussian Scientific Center of Radiology, Ministry of Health of the Russian FederationRussian FederationФГБУ ДПО «Центральная государственная медицинская академия» Управления делами Президента Российской ФедерацииРоссияCentral State Medical Academy, Presidential Administration of the Russian FederationRussian Federation2021171120211025304310Copyright © Ядренцева С.В., Нуднов Н.В., Гасымов Э.Г., 20212021Ядренцева С.В., Нуднов Н.В., Гасымов Э.Г.Yadrentseva S.V., Nudnov N.V., Gasymov E.G.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.russianradiology.ru/jour/article/view/670

Приведены два клинических наблюдения пациентов с гигантскими ангиомиолипомами (АМЛ) почек, одна из которых имела осложненное течение вследствие внутриопухолевого кровоизлияния. Описаны ключевые диагностические критерии при применении компьютерной томографии (КТ), а также отличительные особенности других новообразований, с которыми необходимо проводить дифференциальную диагностику. Схожая клиническая картина и морфологические характеристики различных новообразований почек могут вызвать определенные диагностические трудности, однако тщательно собранный анамнез и отличительные критерии позволяют идентифицировать АМЛ. КТ брюшной полости с контрастным усилением вследствие высокой чувствительности и специфичности является эффективным методом визуализации в выявлении и дифференциальной диагностике гигантских АМЛ почек.

The paper presents two clinical cases of patients with giant renal angiomyolipomas (AML), in one of whom its course was complicated by intratumoral hemorrhage. It describes key diagnostic criteria for computed tomography (CT), as well as the distinctive features of other neoplasms that should undergo a differential diagnosis. The similar clinical presentations and morphological characteristics of different renal neoplasms can cause certain diagnostic difficulties; however, the carefully collected historical data and distinctive criteria allow AML to be identified. Due to its high sensitivity and specificity, abdominal contrast-enhanced CT is an effective imaging technique in the detection and differential diagnosis of giant renal AML.

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The authors declare that there are no conflicts of interest present.