PMC3562056_01
An abdominopelvic CT scan image shows a large oval shaped heterogeneous mass arising from the right adrenal gland with heterogeneous enhancement and pressure effect on right lobe of the liver.
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figure1
An abdominopelvic spiral computed tomography (CT) scan with intravenous contrast identified a well-defined heterogeneously enhanced mass with areas of necrosis in the right adrenal site with downward displacement of the underlying kidney (Figure 1).
A low-magnification (10x) pathology image showing the neoplasm composed of atypical cells with pleomorphic nuclei and abundant oeosinophilic cytoplasm arranged in sheets with vascularised stroma.
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figure2
A microscopic examination revealed large atypical cells with pleomorphic atypic nuclei, prominent nucleoli, and moderate oeosinophilic cytoplasm arranged in a lobular and solid pattern (Figure 2).