GPR: 2019 - Week 37
From MGH Learn Pathology
Clinical history
60s F with 3.9 cm adrenal mass.
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Adrenal cortical adenoma Up to ~4 cm
Most often <50 g (adults) Well-circumscribed Golden-yellow Can have myxoid changes, microcystic appearance, but no necrosis Uninvolved adrenal cortex normal or atrophic |
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Adrenal cortical carcinoma Often large (10-14 cm)
Most often >100 g (adults) Poorly circumscribed, invasive pattern Red/brown and fleshy to tan-yellow Frequent hemorrhage and necrosis |
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Adrenal cortical hyperplasia Diffuse enlargement of adrenal cortex
Can appear nodular
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This week's Gross Pathology Roundup was presented by Daniel Shepherd MD, PhD on 2019-09-09.
