What examinations should be done for hamartoma

Hamartoma refers to an organ in the body that has an incorrect combination of genes during growth. Many patients have never even heard of hamartoma, let alone its symptoms. They always go to the wrong department for examination and do a lot of useless work. Now we will answer what examinations should be done for hamartoma?

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. The low back pain and lumps in the waist and abdomen of polycystic kidney disease are similar to this disease, but its course of disease progresses slowly, and hematuria, hypertension and renal function damage 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 many cystic masses of varying sizes with smooth edges can be seen in the renal parenchyma.

4. Rupture of intra-abdominal solid organs manifests as sudden abdominal pain, rebound pain and abdominal muscle tension, and shock due to severe bleeding. It is easy to be 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, smooth muscles and mature adipose tissue without normal elastic 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.

Through the above introduction, I believe everyone must have a certain understanding of the examination of hamartoma. I hope you can go to the hospital for examination as soon as possible. I wish you a speedy recovery!