PMC5398108_01
Abdominal computed tomography scan images showing 7.3 cm x 8.0 cm x 9.1 cm heterogeneously enhancing right-sided adrenal tumor
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F1
Computed tomography (CT) scan revealed 7.3 cm x 8.0 cm x 9.1 cm heterogeneous enhancing lesion in the upper pole of right kidney with internal calcific foci [Figure 1].
A largxe adrenal medullary mass. (a) Mass on upper pole of kidney. (b) Cut section: Grayish yellow hemorrhagic mass compressing adrenal cortex superiorly and kidney lie on the either sides
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F2
Histopathological examination showed encapsulated tumor mass measuring 9 cm x 8 cm x 7 cm, cut section grayish yellow, soft with areas of hemorrhage and necrosis [Figure 2].
Photomicrograph (a) zellballen nest pattern of tumor cells with hemorrhage and cystic change (H and E, x100) (b) bizarrely pleomorphic tumor cells with prominent nucleoli and intranuclear inclusions and amphophilic granular cytoplasm (H and E, x400)
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F3
Nuclei were round to be oval with prominent nucleoli containing intracytoplasmic inclusions with salt and pepper chromatin at places [Figure 3].