Many people are afraid of hamartomas, which can cause serious damage to our lungs, kidneys, breasts, etc. Therefore, it is necessary to diagnose whether it is a hamartoma in time. So how to diagnose hamartomas? I have collected a lot of information. Now let's learn about how to diagnose hamartomas! The diagnosis of hamartoma can be based on the following aspects: 1. Renal cell carcinoma also presents with low back pain, lumps in the waist and abdomen, and hematuria, but painless intermittent macroscopic hematuria is more obvious. Lumbar and abdominal masses are often discovered late. Shock and acute abdomen caused by tumor rupture and bleeding are very rare. Ultrasound examination often shows low echo or uneven echo. Renal artery angiography can show enlarged renal shadow and contrast agent accumulation in the parenchymal phase. IVU shows that the renal pelvis and calyces are often destroyed. CT can show uneven density in the kidney, irregular edges, and a substantial mass that is unclearly demarcated from the surrounding normal tissue. The CT value of the mass is slightly lower than that of normal renal parenchyma, and enhanced scanning shows that the CT value of the mass is higher than that of normal renal parenchyma. 2. The main clinical manifestation of nephroblastoma is also a progressively enlarging abdominal mass, but it mostly occurs in children. The disease progresses rapidly and is accompanied by cachexia. Ultrasound examination shows small scattered low-echo spots, and IVU shows obvious destruction or loss of the renal pelvis and calyces. 3. Polycystic kidney disease Low back pain and lumps in the waist and abdomen are similar to this disease, but the disease progresses slowly, and hematuria, hypertension and renal function impairment are more obvious. IVU shows enlarged kidneys with irregular edges, elongated and deformed calyces. Ultrasound examination shows multiple round anechoic dark areas in the renal parenchyma. CT examination shows enlarged kidneys, and numerous cystic masses of varying sizes with smooth edges can be seen in the renal parenchyma. 4. Rupture of intra-abdominal solid organs It manifests as sudden abdominal pain, rebound pain and abdominal muscle tension, shock due to severe bleeding, which is easily confused with spontaneous rupture and bleeding of renal hamartoma. However, there are primary organ lesions before bleeding, such as liver cancer. Trauma or strenuous activities are often the cause of rupture and bleeding. There is no hematuria. IVU shows that the morphology of the renal pelvis and calyces is normal, and ultrasound examination of the kidneys shows normal sound and image. Warm reminder: Renal angiomyolipoma is a benign tumor composed of blood vessels without normal elastic tissue, smooth muscle and mature adipose tissue. Small ones are often asymptomatic, while large ones are prone to bleeding, necrosis and cystic changes. Especially those with less fat content are easily misdiagnosed as renal cancer. Regular health checks can detect tumors early. Women with acute abdominal pain accompanied by intra-abdominal masses or internal bleeding symptoms should consider the possibility of this disease. The above are the diagnostic measures for hamartoma. If you feel unwell, you must go to a regular hospital for examination and treatment in time, and do not delay the best treatment time. |
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