case_images: PMC9529648_01
case_images: CT scan of the abdomen/pelvis showing large right adrenal mass measuring 15.5 x 9.8 cm in axial dimension. The mass abuts right hepatic lobe.
case_images: jchim-12-05-114f1.jpg
case_images: PMC9529648_01_jchim-12-05-114f1.jpg
case_images: f1-jchim-12-05-114
case_images: CT scan and MRI abdomen/pelvis showed a large right adrenal mass measuring 15.5 x 9.8 cm in axial dimension and 16.2 cm in cranio-caudal dimension respectively (Figs. 1 and 2).
case_images: MRI abdomen showing large heterogeneously enhancing mass centered in the region of the right adrenal gland measuring. 16.3 cm cephalocaudal dimension. Mass contains small areas of T1 hyperintense signal suspicious for blood products. Areas of necrosis noted within the mass. Mass inseparable from and compressing posterior right hepatic lobe and caudate lobe. Significant mass effect on the suprarenal IVC as well as extension of the mass into the intrahepatic IVC lumen.
case_images: jchim-12-05-114f2.jpg
case_images: PMC9529648_01_jchim-12-05-114f2.jpg
case_images: f2-jchim-12-05-114
case_images: CT scan and MRI abdomen/pelvis showed a large right adrenal mass measuring 15.5 x 9.8 cm in axial dimension and 16.2 cm in cranio-caudal dimension respectively (Figs. 1 and 2).
case_images: D cells in myxoid stroma consistent with Adrenocortical carcinoma.
case_images: jchim-12-05-114f3.jpg
case_images: PMC9529648_01_jchim-12-05-114f3.jpg
case_images: f3-jchim-12-05-114
case_images: Biopsy confirmed the diagnosis of adrenal cortical carcinoma, myxoid variant (Fig. 3).
case_images: Immunohistochemical staining: A-Inhibin+; B- Calretinin; C-Synaptophysin+; D- Ki 67.
case_images: jchim-12-05-114f4.jpg
case_images: PMC9529648_01_jchim-12-05-114f4.jpg
case_images: f4-jchim-12-05-114
case_images: Immunohistochemical staining (Inhibin+, Melan-A+, Calretinin, Synaptophysin+) supported an adrenal cortical phenotype (Fig. 4).