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CT of a Duodenal Angiomyolipoma

Leon R. Toye1 and Lawrence A. Czarnecki2

1 Department of Radiology, St. Joseph's Hospital and Medical Center, 350 W. Thomas Rd., Phoenix, AZ 85013.
2 Department of Pathology, St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013.



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Fig. 1D. 60-year-old woman with 6-month history of early satiety. Photomicrograph of histopathologic specimen shows mature adipocytes (thick arrow) with intervening thick-walled blood vessels (thin arrow) and spindle cells (arrowhead). (H and E, x100)

 


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Fig. 1A. 60-year-old woman with 6-month history of early satiety. CT scan of abdomen reveals well-circumscribed predominantly fat-containing mass in bowel wall of descending duodenum (arrow). Small central area of soft-tissue density is seen in mass. Considerable intraluminal mass effect is present. Incidental right renal cyst is seen.

 


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Fig. 1B. 60-year-old woman with 6-month history of early satiety. IV contrast-enhanced CT scan shows no enhancement in duodenal mass.

 


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Fig. 1C. 60-year-old woman with 6-month history of early satiety. Photograph of pathologic specimen shows polypoid submucosal mass in resected duodenum (arrow).

 

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