A rare case of angiomyomatous hamartoma of periaortic lymph node and synchronous angiomyolipoma of the kidney: a diagnostic pitfall for lymph node involvement by angiomyolipoma

Angiomyomatous hamartoma is a rare benign proliferative lesion of lymph nodes, showing replacement of the lymph node parenchyma by irregular thick-walled blood vessels, smooth muscle, fibrotic stroma and variable amount of adipose tissue. These histologic features greatly overlap with those describe...

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Main Authors: Zsolt Jobbagy, Claudio Guerrieri, Domenico Savatta, Sairam Chattu, Billie Fyfe-Kirschner
Format: Article
Language:English
Published: Elsevier 2020-03-01
Series:Human Pathology: Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2214330020300109
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author Zsolt Jobbagy
Claudio Guerrieri
Domenico Savatta
Sairam Chattu
Billie Fyfe-Kirschner
author_facet Zsolt Jobbagy
Claudio Guerrieri
Domenico Savatta
Sairam Chattu
Billie Fyfe-Kirschner
author_sort Zsolt Jobbagy
collection DOAJ
description Angiomyomatous hamartoma is a rare benign proliferative lesion of lymph nodes, showing replacement of the lymph node parenchyma by irregular thick-walled blood vessels, smooth muscle, fibrotic stroma and variable amount of adipose tissue. These histologic features greatly overlap with those described in angiomyolipoma, a member of the perivascular epithelioid cell tumor (PEComa) family. We present a unique case of angiomyomatous hamartoma of a periaortic lymph node, which mimicked lymph node involvement in a patient with renal angiomyolipoma on hematoxylin and eosin (H&E) stained slides alone. Keywords: Renal angiomyolipoma, Angiomyomatous hamartoma, Periaortic lymph node, Angiomyolipoma in lymph node, Melanocytic immunomarkers, Cathepsin K
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spelling doaj.art-d429650647424c15a0e83a70a436eab62022-12-22T00:01:34ZengElsevierHuman Pathology: Case Reports2214-33002020-03-0119A rare case of angiomyomatous hamartoma of periaortic lymph node and synchronous angiomyolipoma of the kidney: a diagnostic pitfall for lymph node involvement by angiomyolipomaZsolt Jobbagy0Claudio Guerrieri1Domenico Savatta2Sairam Chattu3Billie Fyfe-Kirschner4Department of Pathology, Immunology and Laboratory Medicine, Rutgers New Jersey Medical School, Newark Beth Israel Medical Center, 201 Lyons Ave., Newark, NJ 07112, USA; Corresponding author.Department of Pathology, Immunology and Laboratory Medicine, Rutgers New Jersey Medical School, Newark Beth Israel Medical Center, 201 Lyons Ave., Newark, NJ 07112, USAUrologic Group of New Jersey 1600 St. George Ave. Suite 202, Rahway NJ07065, USASt George’s University, Caribbean Medical School, GrenadaDepartment of Pathology, Immunology and Laboratory Medicine, Rutgers New Jersey Medical School, Newark Beth Israel Medical Center, 201 Lyons Ave., Newark, NJ 07112, USAAngiomyomatous hamartoma is a rare benign proliferative lesion of lymph nodes, showing replacement of the lymph node parenchyma by irregular thick-walled blood vessels, smooth muscle, fibrotic stroma and variable amount of adipose tissue. These histologic features greatly overlap with those described in angiomyolipoma, a member of the perivascular epithelioid cell tumor (PEComa) family. We present a unique case of angiomyomatous hamartoma of a periaortic lymph node, which mimicked lymph node involvement in a patient with renal angiomyolipoma on hematoxylin and eosin (H&E) stained slides alone. Keywords: Renal angiomyolipoma, Angiomyomatous hamartoma, Periaortic lymph node, Angiomyolipoma in lymph node, Melanocytic immunomarkers, Cathepsin Khttp://www.sciencedirect.com/science/article/pii/S2214330020300109
spellingShingle Zsolt Jobbagy
Claudio Guerrieri
Domenico Savatta
Sairam Chattu
Billie Fyfe-Kirschner
A rare case of angiomyomatous hamartoma of periaortic lymph node and synchronous angiomyolipoma of the kidney: a diagnostic pitfall for lymph node involvement by angiomyolipoma
Human Pathology: Case Reports
title A rare case of angiomyomatous hamartoma of periaortic lymph node and synchronous angiomyolipoma of the kidney: a diagnostic pitfall for lymph node involvement by angiomyolipoma
title_full A rare case of angiomyomatous hamartoma of periaortic lymph node and synchronous angiomyolipoma of the kidney: a diagnostic pitfall for lymph node involvement by angiomyolipoma
title_fullStr A rare case of angiomyomatous hamartoma of periaortic lymph node and synchronous angiomyolipoma of the kidney: a diagnostic pitfall for lymph node involvement by angiomyolipoma
title_full_unstemmed A rare case of angiomyomatous hamartoma of periaortic lymph node and synchronous angiomyolipoma of the kidney: a diagnostic pitfall for lymph node involvement by angiomyolipoma
title_short A rare case of angiomyomatous hamartoma of periaortic lymph node and synchronous angiomyolipoma of the kidney: a diagnostic pitfall for lymph node involvement by angiomyolipoma
title_sort rare case of angiomyomatous hamartoma of periaortic lymph node and synchronous angiomyolipoma of the kidney a diagnostic pitfall for lymph node involvement by angiomyolipoma
url http://www.sciencedirect.com/science/article/pii/S2214330020300109
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