PMC2878425_01
Magnetic resonance imaging of the abdomen-T1 and T2 weighted images showing a 3.5x3 cm, mixed intense mass in the left adrenal gland. Contralateral adrenal gland was normal
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Contralateral adrenal gland was normal [Figure 1].
(a) H and E staining (low power view) showing normal adrenal parenchyma with neoplastic cells; (b) High power view of tumor cells arranged in nests, round to polygonal cells with scanty cytoplasm with vesicular nuclei and prominent nucleoli; (c) and (d) Low power and high power views of immunohistochemical staining showing tumor cells stained positive (brown) for adrenocorticotrophic hormone
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ACTH and chromogranin [Figure 2a-d]. At the two month follow up her serum cortisol was 10 microgm/dl, blood pressure was 130/80 mmHg without any antihypertensives.