PMC9296303_01
Abdominal CT scan with IV contrast. (a) Axial view of the heterogenous well-defined mass above the right kidney. (b) Coronal view of the adrenal mass effect on the IVC and pancreatic tail.
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fig1
Contrast-enhanced CT of abdomen indicated a solid retroperitoneal 187 x 85 x 140 mm mass with regular borders and heterogenous enhancement located between the upper pole of the right kidney and VI and VII segments of the liver which has pushed the right kidney down (Figure 1).
(a) Macroscopical view of the adrenal mass and right kidney. (b) The adrenal mass with a nodular and extensive necrotic area at sectioning. (c) High mitotic activity with multifocal necrosis. (d) Extension of the neoplastic cells to the capsule.
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fig2
There was no evidence of tumoral involvement in the right kidney (Figure 2).