PMID- 38510893 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240322 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 16 IP - 2 DP - 2024 Feb TI - Hepatic Angiomyolipoma With Predominant Lipomatous Component: A Rare Entity. PG - e54357 LID - 10.7759/cureus.54357 [doi] LID - e54357 AB - Hepatic angiomyolipoma (HAML) is a rare benign mesenchymal tumor with varying amounts of mature adipose tissue, smooth muscle cells, and thick-walled blood vessels. We present a rare case of hepatic angiomyolipoma (AML) with predominant lipomatous components. A 42-year-old female presented to the hospital with pain in the right lumbar region. On imaging, there was a large fat-predominant mass attached to the surface of the liver extending down to the lumbar region. On small biopsy, it was reported as a well-differentiated adipocytic neoplasm, and fluorescence in situ hybridization (FISH) studies performed for MDM2 were negative. On excision, histopathological examination showed predominantly fat components, but there were few epithelioid cells between adipocytes and thick-walled blood vessels. These cells were positive for Melan-A, HMB45, and smooth muscle actin (SMA) and negative for hepatocyte paraffin-1 (Hep Par1). Angiomyolipoma is a benign tumor and has a good prognosis with surgical excision. Few cases are associated with tuberous sclerosis. CI - Copyright (c) 2024, Pervaiz et al. FAU - Pervaiz, Jaweria Jr AU - Pervaiz J Jr AD - Department of Histopathology, Chughtai Institute of Pathology, Lahore, PAK. FAU - Zaman, Samina AU - Zaman S AD - Department of Histopathology, Children's Hospital and Institute of Child Health, Lahore, PAK. FAU - Khalid, Sohaib AU - Khalid S AD - Department of Histopathology, Chughtai Institute of Pathology, Lahore, PAK. FAU - Rafique, Zubaria AU - Rafique Z AD - Department of Histopathology, Chughtai Institute of Pathology, Lahore, PAK. FAU - Noor, Rida AU - Noor R AD - Department of Pathology, Faisalabad Medical University, Faisalabad, PAK. LA - eng PT - Case Reports DEP - 20240217 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC10951131 OTO - NOTNLM OT - angiomyolipoma OT - hepatic OT - lipomatous predominant OT - pecomas OT - rare entity COIS- The authors have declared that no competing interests exist. EDAT- 2024/03/21 06:43 MHDA- 2024/03/21 06:44 PMCR- 2024/02/17 CRDT- 2024/03/21 04:17 PHST- 2024/02/17 00:00 [accepted] PHST- 2024/03/21 06:44 [medline] PHST- 2024/03/21 06:43 [pubmed] PHST- 2024/03/21 04:17 [entrez] PHST- 2024/02/17 00:00 [pmc-release] AID - 10.7759/cureus.54357 [doi] PST - epublish SO - Cureus. 2024 Feb 17;16(2):e54357. doi: 10.7759/cureus.54357. eCollection 2024 Feb.