PMC5177993_01
Adrenal CT scan shows right mass measuring 1.7 x 2.3 cm with mild enhancement (A) and a left mass measuring 2.8 x 3.3 cm with multiple areas of necrosis (B).
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Both adrenal mass lesions showed multiple areas of necrosis (Fig. 1A, B).
Immunohistochemical examination shows upper panels (40 x ) and lower panels (400 x ). (A) Right adrenal tumor immunostaining for ACTH showed partially positive. (B) Left adrenal tumor immunostaining was positive for ACTH in larger area.
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Histopathology analysis confirmed an adrenomedullary chromatin tumor, and immunostaining showed 5% of the tumor stained positively for ACTH (Fig. 2A). ACTH (Fig. 2B). After removing bilateral adrenal tumors, he had adrenal insufficiency, requiring treatment with 30 mg of oral hydrocortisone.