PMC9905669_01
X-ray of chest shows that the patient had scoliosis (A). The white arrow points to the location of the tumor. The red arrows indicate the length and width of the mass (B). Postoperative mass specimen of adrenocortical oncocytic carcinoma (C).
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F1
His scoliosis was caused by spinal trauma 40 years ago with a Cobb angle reaching 45 degrees (Figure 1A). An abdominal CT scan showed a tumor in the right adrenal area measuring 78 mm x 68 mm (Figure 1B). After the blood vessels around the tumor were ligated and removed, the tumor was completely removed (Figure 1C).
The tumor cells invaded adipose tissue, original amplification x100 (A). There were obvious stromal vessels with necrosis in tumor tissue, original amplification x400 (B).
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F2
Postoperative pathological results were as follows (Figure 2): the tumor cells were arranged in nests with heteromorphic cells; there were obvious nucleoli, atypical mitosis, abundant eosinophilic cytoplasm; and the tumor cells invaded the adipose tissue and had obvious stromal blood vessels.
The immunohistochemical staining showed the expression of Vimentin, NSE, Syn, Inhibin, Melan A, calretinin, S-100, Desmin, Ki67 and Alk in tissues, original amplification x400 (A-J).
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F3