PMC2941601_01
Contrast enhanced computed tomography-left suprarenal mass showing rim-like enhancing capsule
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Contrast enhanced computed tomography (CT)-whole abdomen [Figure 1] showed a large 68x47 mm soft tissue density mass in the left suprarenal region, showing homogenous contrast enhancement, displacing the left kidney downward with a thin rim-like enhancing capsule around the mass.
Cut-section: variegated pattern with intratumoral nodules
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The cut-section showed a variegated pattern, with soft and friable intratumoral nodules with areas of hemorrhage and necrosis [Figure 2].
Marked nuclear pleomorphism, tumor giant cells and high mitotic figures (high magnification)
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Microscopically, it consisted of large polygonal cells with vesicular nuclei and prominent nucleoli, marked nuclear pleomorphism, tumor giant cells with bizarre hyperchromatic nuclei and abundant eosinophilic cytoplasm, and mitotic figures were >20/50 hpf [Figure 3].