SS  Vol.2 No.2 , April 2011
Angiomyolipoma of the Jejunum Mimicking Metastatic Disease in a Patient with Colonic Adenocarcinoma
Abstract: Angiomyolipoma is a benign tumor most commonly arising in the kidney. Very few cases have been reported to be located in the small intestine. Here we report the first case located in the jejunum in a patient who was diagnosed with a colonic adenocarcinoma. In the preoperative evaluation this benign lesion was thought it might represent a metastatic nodule.
Cite this paper: nullS. Miliaras and D. Miliaras, "Angiomyolipoma of the Jejunum Mimicking Metastatic Disease in a Patient with Colonic Adenocarcinoma," Surgical Science, Vol. 2 No. 2, 2011, pp. 52-56. doi: 10.4236/ss.2011.22011.

[1]   G. Martignoni, M. Pea, D. Reghellin, G. Zamboni and F. Bonetti, “Pecomas: The Past, the Present and the Future,” Virchows Archives, Vol. 452, No. 2, February 2008, pp. 119-132. doi:10.1007/s00428-007-0509-1

[2]   P. J. Xu, Y. Shan, F. H. Yan, Y. Ji, Y. Ding and M. L. Zhou, “Epithelioid Angiomyolipoma of the Liver: Cross-Sectional Imaging Findings of 10 Immunohistochemically-Verified Cases,” World Journal of Gastroenterology, Vol. 15, No. 36, September 2009, pp. 4576-4581. doi:10.3748/wjg.15.4576

[3]   A. P. Cil, A. Haberal, S. Hucumenoglu, E. E. Kovalak and M. Gunes, “Angiomyolipoma of the Uterus Associated with Tuberous Sclerosis: Case Report and Review of the Literature,” Gynecologic Oncology, Vol. 94, No. 2, August 2004, pp. 593-596. doi:10.1016/j.ygyno.2004.05.015

[4]   D. G. Jr. Guinee, D. S. Thornberry, N. Azumi, R. M. Przygodzki, M. N. Koss and W. D. Travis, “Unique Pulmonary Presentation of an Angiomyolipoma. Analysis of Clinical, Radiographic, and Histopathologic Features,” American Journal of Surgical Pathology, Vol. 19, No. 4, April 1995, pp. 476-480.

[5]   K. Singh, R. R. Pai, H. Kini and U. A. Kini, “Cutaneous Angiomyolipoma,” Indian Journal of Pathology Microbiology, Vol. 52, No. 2, April-June 2009, pp. 242-243. doi:10.4103/0377-4929.48932

[6]   A. Tamura, O. Ishikawa and Y. Miyachi, “Subgaleal Angiomyolipoma”, Journal of Dermatology, Vol. 21, No. 7, July 1994, pp. 514-517.

[7]   C. S. Knight, R. J. Cerfolio and T. S. Winokur, “Angiomyolipoma of the Anterior Mediastinum”, Annals of Diagnostic Pathology, Vol. 12, No. 4, August 2008, pp. 293-295. doi:10.1016/j.anndiagpath.2006.12.007

[8]   Y. Huan, R. W. Dillon and P. D. Unger, “Angiomyolipoma of the Bladder”, Annals of Diagnostic Pathology, Vol. 6, No. 6, December 2002, pp. 378-380. doi:10.1053/adpa.2002.36655

[9]   A. A. da Silva, R. Carlos, E. Contreras, O. P. de Almeida, M. A. Lopes and P. A. Vargas, “Angiomyolipoma of the Upper Lip: Case Report and Review of the Literature,” Medicina Oral, Patología Oral y Cirugía Bucal, Vol. 12, No. 2, March 2007, pp. E101-104.

[10]   K. Watanabe and T. Suzuki T, “Mucocutaneous Angiomyolipoma: A Report of 2 Cases Arising in the Nasal Cavity”, Archives of Pathology and Laboratory Medicine, Vol. 123, No. 9, September 1999, pp. 789-792.

[11]   K. Oishi, S. Fukuda, H. Sakimoto, T. Eto, M. Takahashi and T. Nishida, “Angiomyolipoma of the Colon: Report of a Case”, Surgery Today, Vol. 39, No. 11, November 2009, pp. 998-1001. doi:10.1007/s00595-009-3973-1

[12]   H. Cheng, M. D. Sitrin and A. Rani A, “Angiomyolipoma in the Colon”, Gastrointestinal Endoscopy, Vol. 64, No. 3, September 2006, pp. 443-444. doi:10.1016/j.gie.2006.01.064

[13]   A.I. Sharara and A. Tawil A, “Angiomyolipoma of the colon”, Clinical Gastroenterology and Hepatology, vol. 3, no.9, September 2005, p. A35. doi:10.1016/S1542-3565(05)00287-9

[14]   J. Pelz, K. Weber, J. G?hl, A. Dimmler and W. Hohenberger, “Angiomyolipoma of the Colon - Case Report and Review of the Literature”, Zeitschrift für Gastroenterologie, Vol. 41, No. 8, August 2003, pp. 715-718.

[15]   J. S. Chen, L. J. Kuo, P. Y. Lin and C. R. Changchien, “Angiomyolipoma of the Colon: Report of a Case and Review of the Literature”, Diseases of Colon and Rectum, Vol. 46, No. 4, April 2003, pp. 547-549. doi:10.1007/s10350-004-6598-x

[16]   H. Maluf and Dieckgraefe B, “Angiomyolipoma of the Large Intestine: Report of a Case”, Modern Pathology, Vol. 12, No.12, December 1999, pp. 1132-1136.

[17]   C. Maesawa, G. Tamura, H. Sawada, S. Kamioki, Y. Nakajima and R. Satodate, “Angiomyolipoma Arising in the Colon”, American Journal of Gastroenterology, Vol. 91, No. 9, September 1996, pp. 1852-1854.

[18]   R. Verzaro, S. Guadagni, A. Agnifili, I. Ibi, P. Gola, F. Gianfelice, D. Ranalletta, G. Carducci and P. Leocata, “A Case of Extrarenal Angiomyolipoma with Intestinal Localization”, Minerva Chirurgica, Vol. 47, No. 15-16, August 1992, pp. 1317-1319.

[19]   Y. Hikasa, T. Narabayashi, M. Yamamura, Y. Fukuda, N. Tanida, K. Tamura, T. Ohno, T. Shimoyama and Nishigami T, “Angiomyolipoma of the Colon: A New Entity in Colonic Polypoid Lesions”, Gastroenterologia Japonica, Vol. 24, No. 4, August 1989, pp. 407-409.

[20]   M. De Padua, N. Gupta, S.L. Broor and D. Govil, “Duodenal Angiomyolipoma: A Case Report,” Indian Journal of Pathology and Microbiology, Vol. 50, No. 3, July 2007, pp. 568-569.

[21]   L. R. Toye and L. A. Czarnecki, “CT of Duodenal Angiomyolipoma,” American Journal of Roentgenology, Vol. 178, No. 1, January 2002, p. 92.

[22]   C. H. Lee, J. H. Kim, D. H. Yang, Y. Hwang, M. J. Kang, Y. K. Kim and M. R. Lee, “Ileal Angiomyolipoma Manifested by Small Intestinal Intussusception,” World Journal of Gastroenterology, Vol. 15, No. 11, March 2009, pp. 1398-1400. doi:10.3748/wjg.15.1398

[23]   C. Y. Lin, H. Y. Chen, S. C. Jwo and S. C. Chan, “Ileal Angiomyolipoma as an Unusual Cause of Small-Intestinal Intussusception,” Journal of Gastroenterology, Vol. 40, No. 2, February 2005, pp. 200-203. doi:10.1007/s00535-004-1527-2

[24]   L. Cheng, J. Gu, J. N. Eble, D. G. Bostwick, C. Younger, G. T. MacLennan, F. W. Abdul-Karim, W. A. Geary, M. O. Koch, S. Zhang and T. M. Ulbright, “Molecular Genetic Evidence for Different Clonal Origin of Components of Human Renal Angiomyolipomas,” American Journal of Surgical Pathology, Vol. 25, No. 10, October 2001, pp. 1231-1236. doi:10.1097/00000478-200110000-00002

[25]   M. van Slegtenhorst, R. de Hoogt, C. Hermans, M. Nellist, B. Janssen, S. Verhoef, D. Lindhout, A. van den Ouweland, D. Halley, J. Young, M. Burley, S. Jeremiah, K. Woodward, J. Nahmias, M. Fox, R. Ekong, J. Osborne, J. Wolfe, S. Povey, R. G. Snell, J. P. Cheadle, A. C. Jones, M. Tachataki, D. Ravine, J. R. Sampson, M. P. Reeve, P. Richardson, F. Wilmer, C. Munro, T. L. Hawkins, T. Sepp, J. B. Ali, S. Ward, A. J. Green, J. R. Yates, J. Kwiatkowska, E. P. Henske, M. P. Short, J. H. Haines, S. Jozwiak and D.

[26]   European Chromosome 16 Tuberous Sclerosis Consortium, “Identification and Characterization of the Tuberous Sclerosis Gene on Chromosome 16,” Cell, Vol. 75, No. 7, December 1993, pp. 1305-1315. doi:10.1016/0092-8674(93)90618-Z

[27]   G. Martignoni and M. Amin, “Angiomyolipoma,” In: J. N. Eble, G. Sauter, J. Epstein and I. Sesterhenn (eds), Pathology and Genetics of Tumours of the Urinary System and Male Genital Organs Series: WHO Classification of Tumours, IARC Press, Lyon, 2004, pp. 65-67.