PMC4334997_01
Computed tomography of right adrenal tumor, A axial, B coronal.
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She had computed tomography of the abdomen and pelvis completed and was found to have an incidental 4.4 x 3.5 x 5.3 cm right adrenal mass (Fig. 1) that was not present on imaging from two years prior.
Hematoxylin and eosin stain of tumor, demonstrating irregular sheets and nests of large undifferentiated trophoblast-like cells admixed with multinucleated syncytiotrophoblasts (A) and foci of extensive hemorrhage and necrosis (B).
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Foci of extensive hemorrhage and necrosis were present and replaced the native adrenal architecture (Fig. 2).