PMC5903387_01
Un-Enhanced (A) and Contrast-Enhanced (B) Computed Tomography Scan Showed a Large Heterogenous Solid Mass in the Right Adrenal Gland
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A63055FIG1
Although these findings suggested a pheochromocytoma, they were also compatible with an adrenal malignancy (Figure 1).
Gross Specimen of the Adrenal Tumor: A Solid and Yellow Oval Mass
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A63055FIG2
The mass was 55 mm in its greater diameter and had a remnant of the adrenal gland in its periphery (Figure 2).
Histologic Examination of the Surgical Specimen Shows Neuroblasts and Ganglion Cells: (A) H and E (x 100); (B): H and E (x 400)
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A63055FIG3
Many of these were immature multinucleated cells within a fine fibrillary cobweb-like network (Figure 3).