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Updated: May 9, 2026

Optical Clearing and Imaging of Immunolabeled Kidney Tissue
Published on: July 22, 2019
Angiomyolipoma of the kidney: clinicopathological and immunohistochemical study
Ghada El Sayed Esheba1, Noha El Sayed Esheba
1Department of Pathology, Faculty of Medicine, Tanta University, Tanta, Egypt. ghadaesheba@yahoo.com
Overview:
Although angiomyolipoma (AML) is a relatively rare entity, it is the most common benign mesenchymal neoplasm of the kidney.
The Aim Of This Study:
To highlight the clinicopathological characteristics of AML and to assess the role of Human Melanoma Black-45 (HMB-45), Melan-A, smooth muscle actin (SMA), S-100 and cytokeratin in its diagnosis.
Materials And Methods:
The study included 15 cases of AML. Clinical and radiological data were retrieved from the archival files and all cases were subjected to a histopathological evaluation as well as immunohistochemical staining for HMB-45, Melan-A, SMA, S-100, and cytokeratin.
Results:
AML was more common in females (female:male = 4:1), the mean age was 53.9 ± 6.45 years. 60% of patients were symptomatic while the remaining 40% were asymptomatic. A statistically significant relationship was found between size of the tumor and the presence of the symptoms (P = 0.02). Patients with tumor size less than 4 cm were asymptomatic, while those with tumor size larger than 4 cm had different symptoms. Thirteen cases were classic AML, while 2 cases were epithelioid AML. Classic AML demonstrated admixture of fatty tissue, thick-walled blood vessels, and smooth muscle, while epithelioid AML was composed mainly of epithelioid cells and contained no fat. HMB-45 was positive in all cases of AML (100%), Melan-A was positive in 13/15 (87%) while SMA was positive in 11/15 (73%) of AML with variable staining intensity. All cases of AML were negative for S-100 and cytokeratin.
Conclusion:
AMLs have characteristic clinicopathological and immunohistochemical features and their recognition is crucial for proper diagnosis and treatment.
Insights
Angiomyolipoma (AML) is a common kidney neoplasm, primarily affecting females. Diagnosis relies on characteristic clinicopathological and immunohistochemical features, with HMB-45 being a key marker.
Area of Science:
- Nephrology
- Oncology
- Pathology
Background:
- Angiomyolipoma (AML) is the most frequent benign mesenchymal neoplasm of the kidney.
- Despite its rarity, understanding AML is crucial for accurate diagnosis.
Purpose of the Study:
- To detail the clinicopathological characteristics of renal angiomyolipoma.
- To evaluate the diagnostic utility of immunohistochemical markers including HMB-45, Melan-A, SMA, S-100, and cytokeratin.
Main Methods:
- Retrospective analysis of 15 angiomyolipoma cases.
- Histopathological evaluation and immunohistochemical staining for HMB-45, Melan-A, SMA, S-100, and cytokeratin.
Main Results:
- AML predominantly affects females (4:1 ratio) with a mean age of 53.9 years.
- Tumor size correlates with symptoms (P=0.02); larger tumors (>4 cm) are symptomatic.
- HMB-45 was positive in 100% of cases, Melan-A in 87%, and SMA in 73%. S-100 and cytokeratin were negative.
Conclusions:
- Renal angiomyolipomas exhibit distinct clinicopathological and immunohistochemical profiles.
- Accurate recognition of these features is essential for appropriate patient management and treatment.
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