RENAL CELL CARCINOMA METASTATIC TO ADRENAL GLAND Figure 12-27 RENAL CELL CARCINOMA METASTATIC TO ADRENAL GLAND A: Adrenal metastasis from an ipsilateral renal cell carcinoma. The patient had undergone radical nephrectomy for a large renal cell carcinoma. Metastatic clear cell renal carcinoma is p... More about this image found in RENAL CELL CARCINOMA METASTATIC TO ADRENAL GLAND A: Adrenal metastasis fro...

ADRENAL-HEPATIC ADHESION AND ADRENAL-RENAL UNION Figure 2-1 ADRENAL-HEPATIC ADHESION AND ADRENAL-RENAL UNION A: A thick capsule separates adrenal cortex (right) from hepatic parenchyma (left) in this example of adrenal-hepatic adhesion. B: In adrenal-renal union (or fusion), there is no interven... More about this image found in ADRENAL-HEPATIC ADHESION AND ADRENAL-RENAL UNION A: A thick capsule separa...

BLOOD SUPPLY OF THE ADRENAL GLANDS Figure 1-21 BLOOD SUPPLY OF THE ADRENAL GLANDS In the coronal plane, the ad renal glands have a relatively flat ventral or anterior surface. Arterial supply is from the inferior phrenic artery, the aorta, and the renal artery. The left adrenal vein drains into t... More about this image found in BLOOD SUPPLY OF THE ADRENAL GLANDS In the coronal plane, the ad renal glan...

ORIGINAL DESCRIPTION OF ADDISON DISEASE BY THOMAS ADDISON Figure 3-14 ORIGINAL DESCRIPTION OF ADDISON DISEASE BY THOMAS ADDISON A: The liver of H. P., with the diseased supra-renal capsules in situ. B,C: Sections of the diseased supra-renal capsules. (From his monograph, On the Constitutional an... More about this image found in ORIGINAL DESCRIPTION OF ADDISON DISEASE BY THOMAS ADDISON A: The liver of ...

ADRENAL CORTICAL TISSUE IN A DONOR KIDNEY BIOPSY Figure 2-5 ADRENAL CORTICAL TISSUE IN A DONOR KIDNEY BIOPSY A: Uncircumscribed adrenal cortical tissue was present between the renal capsule and a renal subcortical cyst. A small amount of normal kidney is present at left. The empty space is the cy... More about this image found in ADRENAL CORTICAL TISSUE IN A DONOR KIDNEY BIOPSY A: Uncircumscribed adrena...

ADRENAL CORTICAL CARCINOMA Figure 6-7 ADRENAL CORTICAL CARCINOMA A large adrenal cortical carcinoma (ACC) from a 57-year-old woman simulated a renal cell carcinoma. The patient had no recognizable endocrine syndrome. Over half of the neoplasm was necrotic. More about this image found in ADRENAL CORTICAL CARCINOMA A large adrenal cortical carcinoma (ACC) from a...

SDH-DEFICIENT ABDOMINAL PARAGANGLIOMA Figure 9-26 SDH-DEFICIENT ABDOMINAL PARAGANGLIOMA This paraganglioma with a known SDHB mutation exhibits small intracytoplasmic vacuoles with flocculent content, which are a well-known characteristic of SDH-deficient renal cell carcinoma but extremely rare in SDH-deficient paraganglioma. More about this image found in SDH-DEFICIENT ABDOMINAL PARAGANGLIOMA This paraganglioma with a known

ADRENAL CORTICAL “FIBROMA” Figure 12-20 ADRENAL CORTICAL “FIBROMA” A: This tumor measured about 7 mm and was an incidental finding in a patient undergoing radical nephrectomy for a clear cell renal cell carcinoma. B: The tumor is densely fibrotic with bland spindle cells and resembles an ovarian... More about this image found in ADRENAL CORTICAL “FIBROMA” A: This tumor measured about 7 mm and was an in...

NORMAL PARAGANGLION IN THE WALL OF ADULT URINARY BLADDER Figure 9-6 NORMAL PARAGANGLION IN THE WALL OF ADULT URINARY BLADDER Incidentally discovered paraganglia can be mistaken for deposits of prostatic, renal cell, or other carcinomas. As in this example, their identity can be further obscured b... More about this image found in NORMAL PARAGANGLION IN THE WALL OF ADULT URINARY BLADDER Incidentally disc...

ADRENAL CORTICAL ADENOMA IN A PATIENT WITH FH GERMLINE MUTATION Figure 7-7 ADRENAL CORTICAL ADENOMA IN A PATIENT WITH FH GERMLINE MUTATION This patient had a previous renal cell carcinoma and a Leydig cell tumor. The adenoma shows a nodular aspect without cytologic atypia or other worrisome cellular or architectural features. Preexistent cortex is present at the top of the image. More about this image found in ADRENAL CORTICAL ADENOMA IN A PATIENT WITH FH GERMLINE MUT...

HEMORRHAGIC NEUROBLASTOMA Figure 11-7 HEMORRHAGIC NEUROBLASTOMA NB of the left adrenal gland at autopsy. The tumor replaced the entire adrenal gland and invaded the renal parenchyma. Coarse lobulations are seen on cross section, with bulging nodules showing irregular areas of hemorrhage. The tumo... More about this image found in HEMORRHAGIC NEUROBLASTOMA NB of the left adrenal gland at autopsy. The tum...

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...

VARIED APPEARANCES OF ADRENAL PECOMA Figure 12-15 VARIED APPEARANCES OF ADRENAL PECOMA A: Sharply circumscribed areas of eosinophilic spindle cells and uniform clear cells resemble renal cell carcinoma. B: Different area of the same tumor shows a markedly varied population of small and ballooned... More about this image found in VARIED APPEARANCES OF ADRENAL PECOMA A: Sharply circumscribed areas of eos...

METAIODOBENZYLGUANIDINE (MIBG) SCAN OF WIDELY METASTASIZED NEUROBLASTOMA Figure 11-5 METAIODOBENZYLGUANIDINE (MIBG) SCAN OF WIDELY METASTASIZED NEUROBLASTOMA A 2-year old girl presented with fever and a painless swelling in the abdomen. Blood and urine cultures were negative and initial ultrasound was suspicious of a renal tumor. After referral to an expert center, clinical examination (slight hypertension), laboratory testing (increased urinary catecholamines), and abdominal MRI imaging showed that a diagnosis of metastatic NB was more likely. The MRI depicted a right-sided adrenal mass with retroperitoneal lymph node metastases. Additional MIBG scintigraphy shows increased uptake in the primary adrenal NB and locoregional lymph nodes (black arrow), but also extensive bone marrow metastases throughout. At the top, is a classic orbital metastasis and at the bottom, a tibial metastasis (red arrows). Histopathology showed an undifferentiated NB, with MYCN amplification, indicative of a high-risk NB patient. (Courtesy of Dr. A. J. Braat, University Medical Center Utrecht, The Netherlands) More about this image found in METAIODOBENZYLGUANIDINE (MIBG) SCAN OF WIDELY METASTASIZED NEUROBLASTOMA A...