Antopol-Goldman lesion

Changed by Henry Knipe, 20 Dec 2015

Updates to Article Attributes

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Antopol Goldman lesions are very rare presentations of subepithelial hemorrhage in the renal pelvis, presenting as discrete mass-like hematomas.

Pathology

The cause of these lesions is uncertain, although non-steroidal anti-inflammatory drug (NSAID) overuse, trauma, and amyloidosis have been implicated.

Radiographic features

Discrete mass-like lesion in the renal pelvis, with an attenuation greater than water (>10 HU). It does not enhance after administration of IV contrast.

Differential diagnosis

The problem with Antopol Goldman lesions is that their discrete appearance is likely to be confused with a renal neoplasm. Unfortunately, they are almost always diagnosed after a partial nephrectomy.

  • -<p><strong>Antopol Goldman lesions</strong> are very rare presentations of subepithelial hemorrhage in the renal pelvis, presenting as discrete mass-like hematomas.</p><h4>Pathology</h4><p>The cause of these lesions is uncertain, although non-steroidal anti-inflammatory drug (NSAID) overuse, trauma, and amyloidosis have been implicated.</p><h4>Radiographic features</h4><p>Discrete mass-like lesion in the renal pelvis, with an attenuation greater than water (&gt;10 HU). It does not enhance after administration of IV contrast.</p><h4>Differential diagnosis</h4><p>The problem with Antopol Goldman lesions is that their discrete appearance is likely to be confused with a renal neoplasm. Unfortunately, they are almost always diagnosed after a partial nephrectomy.</p>
  • +<p><strong>Antopol Goldman lesions</strong> are very rare presentations of subepithelial hemorrhage in the <a title="renal pelvis" href="/articles/renal-pelvis">renal pelvis</a>, presenting as discrete mass-like hematomas.</p><h4>Pathology</h4><p>The cause of these lesions is uncertain, although non-steroidal anti-inflammatory drug (NSAID) overuse, trauma, and <a title="Amyloidosis" href="/articles/amyloidosis">amyloidosis</a> have been implicated.</p><h4>Radiographic features</h4><p>Discrete mass-like lesion in the renal pelvis, with an attenuation greater than water (&gt;10 HU). It does not enhance after administration of IV contrast.</p><h4>Differential diagnosis</h4><p>The problem with Antopol Goldman lesions is that their discrete appearance is likely to be confused with a renal neoplasm. Unfortunately, they are almost always diagnosed after a partial nephrectomy.</p>

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