How to detect hamartoma

How to detect hamartoma? Modern medicine has made rapid progress, and the diagnosis and treatment of various diseases are no longer difficult. Diseases such as hamartoma can also be accurately diagnosed through early examinations. However, because the symptoms of hamartoma are very similar to many diseases, it is necessary to go to a professional hospital for examination. So how to detect hamartoma?

Renal hamartomas can be easily confused with these diseases

1. Polycystic kidney disease is similar to this disease in terms of back pain and lumps in the waist and abdomen, but its course of disease progresses slowly, and hematuria, hypertension, and renal function impairment are more obvious. IVU shows enlarged renal shadows with irregular edges, and elongated and deformed calyces. Ultrasound examination shows multiple round anechoic dark areas in the renal parenchyma. CT examination shows enlarged kidneys, and multiple cystic masses with smooth edges and varying sizes can be seen in the renal parenchyma.

2. Rupture of intra-abdominal solid organs manifests as sudden abdominal pain, rebound pain and abdominal muscle tension, and 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 normal morphology of renal pelvis and calyces, and ultrasound examination of the kidneys shows normal sound and image.

What tests should be done for renal hamartoma?

Because the tumor is close to the collecting system, rupture may cause hematuria, and urine examination may show occult blood. Bilateral renal hamartoma may cause hypertension, renal insufficiency, and abnormal blood creatinine and urea nitrogen.

1. Ultrasound is quite characteristic. The fat and blood vessels in the tumor show evenly distributed dense high-echo areas, while the muscle and bleeding parts show low-echo areas.

2. X-ray abdominal films showed unclear kidney contours, disappearance of the psoas major muscle shadow, and calcification in the renal area. Urinary tract angiography showed that the mass compressed the renal pelvis and calyces, causing them to deform, lengthen, shorten, etc., but there was no erosion.

3. CT is the main method for diagnosing renal hamartoma. It is a mass with uneven density and high fat content, and the CT value is -40 to -90Hu.