Endocr Pathol (2017) 28:276–279 DOI 10.1007/s12022-017-9480-9 Images in Endocrine Pathology: Unique Composite Adrenal Adenomatoid Tumor, Ganglioneuroma, Myelolipoma, and Cortical Nodular Hyperplasia 1 1 2 1 Eleonora Duregon & Marco Volante & Stefano Guzzetti & Ida Rapa & 1 1 Simona Vatrano & Mauro Papotti Published online: 5 April 2017 Springer Science+Business Media New York 2017 Case History intermingled one into each other, and distinct from the former (Fig. 2). Among them, anastomosing tubules and cleft-like A 48-year-old male patient had a surgical resection of a right spaces of variable size and shape were observed, some of which testis seminoma. During preoperative imaging studies, a solitary arranged in multiple microcysts and separated by solid fibrous stroma. These structures were lined by a spectrum of plump node of the left adrenal gland was found. Since the suspected preoperative diagnosis was a nonfunctioning cortical adenoma, epithelioid to flattened cells resembling endothelial cells in the absence of hormonal hyper-incretion effects, the adrenal (Fig. 4a, b), some intermingled with nests of cells having a prom- lesion was removed 6 months after the testis surgery. inent vacuolization and eccentrically placed nuclei conferring a signet ring cell appearance. The nuclei were otherwise uniform and round to
Endocrine Pathology – Springer Journals
Published: Apr 5, 2017
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