PMC10136667_01
Ultrasound of left adrenal gland mass measured roughly 15.4 x 11.8 x 14 cm.
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An abdominal ultrasound (Figure 1) demonstrated a large heterogenous mass within the left upper quadrant in the region of the left adrenal gland, measuring roughly 15.4 x 11.8 x 14 cm.
CT imaging of lobulated heterogeneous mass in the left adrenal gland was 16.7 x 11 cm in size and had several linear calcifications within the mass.
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A CT of the abdomen (Figure 2) better characterized the mass to be lobulated, heterogeneous, and localized to the left adrenal gland, measuring 16.7 x 11 cm with several linear calcifications within the tumor.
The adrenal carcinoma was resected.
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A large 25 x 20 cm adrenal mass, which was attached to the inferior vena cava with extensive neovascularization, was grossly and completely resected (Figure 3).
Histology slides of the patient's adrenal mass: H&E stain (left) and H&E x 10 magnification (right).
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H&E, SF-1, and Ki67 stains (Figure 4). H&E stains helped to differentiate between rapidly dividing cancer cells and normal tissue. Figure 4 of the patient's adrenal mass was predominately blue staining confirming the presence of carcinoma.
Histology slides of the patient's adrenal mass: SF-1 stain (left) and Ki67 stain (right).
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Figure 5. Final pathology was consistent with Stage III (pT3, pNX, cM0) adrenocortical carcinoma.