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Correspondence
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Volume 331:813-814 September 22, 1994 Number 12
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Case 18-1994: Tuberous Sclerosis

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 by Fuchs, B. D.
To the Editor: The addendum to Case 18-1994 (May 5 issue),1 which describes a patient with tuberous sclerosis, stated that "the findings from a subsequent fine-needle aspiration biopsy of the left renal mass were consistent with an angiomyolipoma." A computed tomographic (CT) scan of the abdomen had shown large bilateral renal masses with a predominantly fatty density.

In my view, biopsy of kidney lesions in patients with tuberous sclerosis adds little information, may be misleading, and can even be dangerous. The radiographic features of angiomyolipomas on ultrasound examination (echogenic areas) or CT scanning (areas of fatty tissue; -20 to -60 . . . [Full Text of this Article]

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