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Adrenal gland

pathology

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Cortical adenoma, Adrenal glandGross:

Cut surface shows well-define, encapsulated Solitary yellowish brown nodule in adrenal gland

Patho:

Large cell with clear cytoplasm and lipid-laden Organoid (nest cell) arrangement Fibrovascular septum between nest cell

Round and small vesicular nuclei

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Adrenal cortical carcinomaGross:

Enlarged mass adhered to upper pole kidney cut surface show friable yellowish brown mass

Patho:

Large cell arrange in cord pattern Anaplastic neoplasm, mitosis Large nucli, pleomorphism

Extracapsular extension Foci of necrosis and hemorrhage

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PheochromocytomaGross: Well define enlarged mass with encapsulated Compressed adrenal parenchyma Cut surface show solid, homogeneous, yellowish brown

Uniform polygonal cell arrange in cord/nest Round and hyperchormatin nuclei Acidophilic with syncytial cytoplasm Intracellular secreting granule Pericapillary surrounding