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Images
in Physiology, Development, and Anatomy of the Adrenal Glands
> Tumors of the Adrenal Glands and Extra-Adrenal Paraganglia
Published: 01 December 2024
ULTRASTRUCTURAL CORRELATES OF CORTICAL ZONATION Figure 1-47 ULTRASTRUCTURAL CORRELATES OF CORTICAL ZONATION At low magnification, cells of the zona glomerulosa (A) contain sparse lipid and have round to oval mitochondria with lamellar cristae. Cells of the zona fasciculata (B) contain many large ... More about this image found in ULTRASTRUCTURAL CORRELATES OF CORTICAL ZONATION At low magnification, cell...
Images
Published: 01 December 2024
NORMAL ABDOMINAL PARAGANGLION Figure 9-5 NORMAL ABDOMINAL PARAGANGLION A: Low magnification shows proximity of this paraganglion to adjacent developing ganglia, adrenal gland, and kidney in a mid-second trimester fetus. B: Higher magnification of paraganglion in a mid-second trimester fetus. Thi... More about this image found in NORMAL ABDOMINAL PARAGANGLION A: Low magnification shows proximity of this...
Images
in Other Adrenal Neoplasms and Tumor-Like Lesions
> Tumors of the Adrenal Glands and Extra-Adrenal Paraganglia
Published: 01 December 2024
ADRENAL HEMORRHAGE IN WATERHOUSE-FRIDERICHSEN SYNDROME Figure 12-22 ADRENAL HEMORRHAGE IN WATERHOUSE-FRIDERICHSEN SYNDROME A: Low magnification image of a fresh hematoma. B: Hemorrhagic necrosis of overlying adrenal cortex. More about this image found in ADRENAL HEMORRHAGE IN WATERHOUSE-FRIDERICHSEN SYNDROME A: Low magnificatio...
Images
Published: 01 December 2024
PRIMARY BILATERAL MACRONODULAR ADRENOCORTICAL DISEASE ASSOCIATED WITH CORTISOL OVERSECRETION Figure 4-33 PRIMARY BILATERAL MACRONODULAR ADRENOCORTICAL DISEASE ASSOCIATED WITH CORTISOL OVERSECRETION Low Ki-67 index (hot spot area). More about this image found in PRIMARY BILATERAL MACRONODULAR ADRENOCORTICAL DISEASE ASSOCIATED WITH CORTI...
Images
in Pheochromocytoma and Adrenal Medullary Hyperplasia
> Tumors of the Adrenal Glands and Extra-Adrenal Paraganglia
Published: 01 December 2024
MAGNETIC RESONANCE IMAGING (MRI) Figure 8-2 MAGNETIC RESONANCE IMAGING (MRI) A: T1-weighted MRI of the abdomen shows a rounded pheochromocytoma on the right side with a low signal intensity. B: Tumor shows enhancement with gadolinium. More about this image found in MAGNETIC RESONANCE IMAGING (MRI) A: T1-weighted MRI of the abdomen shows a...
Images
Published: 01 December 2024
“BLACK” ADRENAL CORTICAL ADENOMA IN CUSHING SYNDROME Figure 5-44 “BLACK” ADRENAL CORTICAL ADENOMA IN CUSHING SYNDROME Tumor cells express steroidogenic factor 1 (SF1, A), Melan-A (red, B), and a low Ki-67 labeling index (red, C). More about this image found in “BLACK” ADRENAL CORTICAL ADENOMA IN CUSHING SYNDROME Tumor cells express s...
Images
Published: 01 December 2024
PEDIATRIC ADRENAL CORTICAL TUMOR: BENIGN Figure 6-41 PEDIATRIC ADRENAL CORTICAL TUMOR: BENIGN A–C: The tumor is shown at progressively higher magnification. It lacks necrosis and signs of invasion and showed low mitotic and proliferation indexes. Final Wieneke score was 0. (Same case as fig. 6-4... More about this image found in PEDIATRIC ADRENAL CORTICAL TUMOR: BENIGN A–C: The tumor is shown at progre...
Images
Published: 01 December 2024
PRIMARY BILATERAL MACRONODULAR ADRENOCORTICAL DISEASE ASSOCIATED WITH CORTISOL OVERSECRETION Figure 4-19 PRIMARY BILATERAL MACRONODULAR ADRENOCORTICAL DISEASE ASSOCIATED WITH CORTISOL OVERSECRETION The adrenal medulla is compressed by the cortex. A and B show low and high magnifications of the sa... More about this image found in PRIMARY BILATERAL MACRONODULAR ADRENOCORTICAL DISEASE ASSOCIATED WITH CORTI...
Images
Published: 01 December 2024
SPORADIC ADRENAL CORTICAL DISEASE Figure 4-9 SPORADIC ADRENAL CORTICAL DISEASE Nodular enlargement of the adrenal gland (less than 1 cm) incidentally found in a patient with a large renal cyst. Clear cell features are predominant. A and B show low and high magnifications of the same area, illustr... More about this image found in SPORADIC ADRENAL CORTICAL DISEASE Nodular enlargement of the adrenal gland...
Images
Published: 01 December 2024
ANCILLARY STAINING IN THE DIFFERENTIAL DIAGNOSIS OF ADRENAL CORTICAL ADENOMA AND CARCINOMA Figure 5-31 ANCILLARY STAINING IN THE DIFFERENTIAL DIAGNOSIS OF ADRENAL CORTICAL ADENOMA AND CARCINOMA A diagnosis of adrenal cortical carcinoma was suspected because of the presence of predominant oncocyti... More about this image found in ANCILLARY STAINING IN THE DIFFERENTIAL DIAGNOSIS OF ADRENAL CORTICAL ADENOM...
Images
Published: 01 December 2024
SPORADIC ADRENAL CORTICAL DISEASE Figure 4-10 SPORADIC ADRENAL CORTICAL DISEASE Nodular enlargement of the adrenal gland (less than 1 cm) with predominant oncocytic features and diffuse and intense Melan-A positivity (C) (same cases as in fig. 4-2 ). Oncocytic features are responsible for the at... More about this image found in SPORADIC ADRENAL CORTICAL DISEASE Nodular enlargement of the adrenal gland...
Images
Published: 01 December 2024
PULMONARY PARAGANGLIOMA Figure 9-32 PULMONARY PARAGANGLIOMA A: This paraganglioma was a solitary lesion initially interpreted as an epithelial pulmonary NET. The patient was found to have a hereditary SDHC mutation. No other primary tumors were found and this tumor contained abundant sustentacular cells. In view of the clinical and histologic findings and the low metastasis frequency associated with SDHC mutation, the tumor was consistent with a primary pulmonary paraganglioma. B: High magnification shows nested architecture and cells of varied sizes. C: S-100 protein highlights sustentacular cells. More about this image found in PULMONARY PARAGANGLIOMA A: This paraganglioma was a solitary lesion initia...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 21
Published: 01 December 2024
10.55418/9781933477473-11
ISBN-10: 1-933477-47-4
ISBN: 978-1-933477-47-3
... months of age that have limited metastatic disease. It is now recognized that these patients have a favorable prognosis when they can be grouped in the low- or intermediate-risk groups on the basis of age and molecular characteristics, although they may also fall into the high-risk group...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 21
Published: 01 December 2024
10.55418/9781933477473-06
ISBN-10: 1-933477-47-4
ISBN: 978-1-933477-47-3
... at the time of diagnosis. Common sites of metastasis are lung, liver, and lymph nodes, and less frequently, bone ( 39 ). Systemic symptoms also may be present ( 40 ), including prominent weight loss, intermittent low-grade fever (possibly related to extensive tumor necrosis), and anorexia. Hypoglycemia...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 21
Published: 01 December 2024
10.55418/9781933477473-04
ISBN-10: 1-933477-47-4
ISBN: 978-1-933477-47-3
... of the adrenal gland (less than 1 cm) incidentally found in a patient with a large renal cyst. Clear cell features are predominant. A and B show low and high magnifications of the same area, illustrating the architectural difference but cytological similarity between the nodule and adjacent normal cortex...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 21
Published: 01 December 2024
10.55418/9781933477473-09
ISBN-10: 1-933477-47-4
ISBN: 978-1-933477-47-3
... of neuroblast-like medullary progenitors. A developing ganglion composed of similar-appearing progenitors is present at top right. NORMAL ABDOMINAL PARAGANGLION Figure 9-5 NORMAL ABDOMINAL PARAGANGLION A: Low magnification shows proximity of this paraganglion to adjacent developing ganglia, adrenal gland...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 21
Published: 01 December 2024
10.55418/9781933477473-08
ISBN-10: 1-933477-47-4
ISBN: 978-1-933477-47-3
... Anatomic imaging can be performed using computerized tomography (CT) or magnetic resonance imaging (MRI). On CT scan, these tumors are homogeneous with soft tissue density but they may show hemorrhage and necrosis with central low density ( fig. 8-1 ). On MRI they are isointense with liver on T1-weighted...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 21
Published: 01 December 2024
10.55418/9781933477473-02
ISBN-10: 1-933477-47-4
ISBN: 978-1-933477-47-3
... is sometimes associated with midline congenital defects such as spinal dysraphism and indeterminate visceral situs, and occasionally, the Cornelia de Lange syndrome (mental and growth retardation, synophrys, anteverted nostrils, low-set ears, and spade-like hands with short tapering fingers) ( 1 ). It is also...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 21
Published: 01 December 2024
10.55418/9781933477473-10
ISBN-10: 1-933477-47-4
ISBN: 978-1-933477-47-3
... is an E3 ubiq-uitin ligase that targets HIF1α for proteasomal degradation. In low oxygen conditions, down-regulation of pVHL allows HIF1α to dimerize with HIF1β, stimulating transcription of VEGF, PDGFβ, and erythropoietin; these are also activated in VHL-associated tumors that exhibit the hypoxia-mediated...
Book Chapter
Series: Atlases of Tumor and Non-Tumor Pathology, Series 5
Volume: 21
Published: 01 December 2024
10.55418/9781933477473-05
ISBN-10: 1-933477-47-4
ISBN: 978-1-933477-47-3
... tissue tumors) or in the assessment of the benign versus malignant nature of the adrenal cortical lesion, since some of the definitional parameters of malignancy (i.e., included in the Weiss score [see chapter 6 ]) may be hard to assess, but preservation of the reticulin framework and low proliferation...
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