liver tissue to be epithelium kenny tissue of the two meals in particular to be to be at the funeral and so forth so we're talking about the serial neoplasms the plot seconds a little bit different kinds of epithelia as you will learn their glandular epithelium they're not glandular epithelium there is something we call transitional epithelium etcetera don't worry about it but concentrate first-time glandular epithelia in other words uh... this is these are from structures we're talking about tumors that arise from epithelia lhs structures that are glandular or to be more ductile those are those of the call glandular type the rooms and unknown means gland and the suffix beaumont refers to uh... to amass and by convention if we have a benign neoplasm of glandular epithelium it is an adenoma that along transmits a lot of information that says to your listener if his name something that no one says well asap cereal it is in the connective tissue tumors in the field and it's glandular and it's benign choice and adenomas this is uh... a cut through the adrenal gland managerial glance its deep enough at above the kidney waiting here few inches in here it's about about that big normally not done here is cut through the adrenal gland this is a cut through the normal plan the yellow part of the sandwiches the cortex that makes various steroid hormones and this is the mud all over that makes catecholamines i've got an effort and so forth right in that dark spot here we have india plaza first of all is very well circumscribed just shout louder there clearance sale of probably benign doesn't look invasive i can tell you that under the microscope this was perfectly differentiating himself herself all their arranged a little differently they look like the cells here you came to get a hint of that and that it's the same a yellow sort of stuff comprising then at that of which this is made so this is an added no ma arising from the adrenal cortex so we call it a bit and give it the whole in adrenal cortical adenoma now the question is well how did that patient coming in this a doc i've got a walnut sized mass in my super arenal uh... fat pad then is obviously buried in there and you know when you feel that uh... the way this presented was because it was making an access of hormone knows this is a patient belonged to his or her life developed a series of symptoms in this particular case i can tell from looking at this and other history this tumor was making gobs and gobs of a vast room and the patient came in with i'd will bore you with a bit of syndrome relating to blood pressure and changes in certain cervelo delights and so forth and the smart physicians seven flipping see these things together something is making too much oven adrenal cortical hormone simply a matter of imaging finding out which side out icons and you got a cure because that's perfectly benign very well differentiated here's one for you have to explain us a little bit like this is a pancreas has been sliced in the two has a look at matching this is what the normal pancreas pancreas pratama looks like it's a lobby local angular tissue and has a marble very well circumscribed marble in the middle of it this was benign can tell that by looking at exactly but it's it's benign it arose from the island salon their hands with that in mind how do you suppose is patient presented again that's a that's a little marble military christening lately in their representation presenter y removed hypoglycaemia another words that tumor was producing insulin without regard to the needs of the body 