case_images: PMC11026631_01
case_images: (A-D) Maximum Intensity Projection-MIP-PET and PET-CT fused images in coronal and transaxial projections showed left bulky retroperitoneal mass with heterogeneous intense FDG uptake and focal intense FDG uptake in the right thyroid lobe.
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case_images: Fluorodeoxyglucose (FDG)-positron emission tomography/CT revealed intense FDG uptake in the left adrenal and right lobes of the thyroid gland ( Figure 1 ).
case_images: (A) Postoperative picture of the left adrenal mass specimen. (B) Histopathology of adrenocortical carcinoma of this patient (40x).
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case_images: Immunohistochemical tests confirmed ACC with 90% Ki67 in the resected tissue ( Figure 2 ).
case_images: (A, B) Metastasizing nodules of the lung (Cross and Coronal section, with a white arrow to locate the foci); (C, D) Histopathology of the nodules (40x).
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case_images: Three months later, a lung CT indicated multiple metastases and biopsy confirmed ACC metastasis, with Ki67 detectable in approximately 40% of the tissue ( Figure 3 ).