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FETAL ADRENAL GLAND AND KIDNEY Figure 1-4 FETAL ADRENAL GLAND AND KIDNEY Coronal sections (left and right) of adrenal gland and kidney from a fetus of about 18 weeks’ gestational age. External aspect of one specimen is at bottom. Medullary tissue is not evident macroscopically at this early More about this image found in FETAL ADRENAL GLAND AND KIDNEY Coronal sections (left and right) of adrena...

CUSHING DISEASE Figure 3-8 CUSHING DISEASE Histology of left (upper panels) and right (lower panels) adrenal glands from a patient with a recurrent ACTH-secreting pituitary tumor (same case as fig. 3-3 ). Both glands show a similar morphologic appearance, with a homogeneous increase of cortical More about this image found in CUSHING DISEASE Histology of left (upper panels) and right (lower panels) ...

MULTIPLE ALDOSTERONE-PRODUCING NODULES Figure 4-28 MULTIPLE ALDOSTERONE-PRODUCING NODULES Right adrenal gland of 54-year-old man with Conn syndrome. Maximum size of nodules is 4 mm. More about this image found in MULTIPLE ALDOSTERONE-PRODUCING NODULES Right adrenal gland of 54-year-old ...

MASCULINIZING ADRENAL GANGLIONEUROMA Figure 12-18 MASCULINIZING ADRENAL GANGLIONEUROMA A: The right adrenal tumor measured 4 cm in size and was completely enveloped by a thin rim of adrenal cortical tissue. The histology was typical for ganglioneuroma, but scattered throughout were small More about this image found in MASCULINIZING ADRENAL GANGLIONEUROMA A: The right adrenal tumor measured 4...

CUSHING SYNDROME Figure 3-1 CUSHING SYNDROME The clinical features of this disorder (left) can be caused by pituitary adrenocorticotropic hormone (ACTH) excess (top right), ectopic ACTH causing massive adrenal hyperplasia (right middle), or primary adrenal disease (bottom right). (From Netter FH More about this image found in CUSHING SYNDROME The clinical features of this disorder (left) can be caus...

CUSHING DISEASE Figure 3-12 CUSHING DISEASE Bilateral adrenal hyperplasia in a patient with ACTH-secreting pituitary tumor. There is mild and micronodular increase in size in the left (A) and right (B) adrenal glands. The right gland also has a macronodule (over 1 cm). More about this image found in CUSHING DISEASE Bilateral adrenal hyperplasia in a patient with ACTH-secre...

GANGLIONEUROBLASTOMA INTERMIXED Figure 11-19 GANGLIONEUROBLASTOMA INTERMIXED This tumor had more than 50 percent of schwannian stroma and may be called stroma rich. A: There is a mixture of mature and immature elements with schwannian stroma to the lower left and upper right. B: Focus More about this image found in GANGLIONEUROBLASTOMA INTERMIXED This tumor had more than 50 percent of sch...

DORSAL AND VENTRAL SURFACES OF ADULT ADRENAL GLAND Figure 1-19 DORSAL AND VENTRAL SURFACES OF ADULT ADRENAL GLAND A: In the adult, the dorsal surface of the right adrenal gland is pyramidal, while the opposite gland is more elongated. A few cortical extrusions are present. B: Central adrenal More about this image found in DORSAL AND VENTRAL SURFACES OF ADULT ADRENAL GLAND A: In the adult, the do...

CARDIAC PARAGANGLIOMA Figure 9-31 CARDIAC PARAGANGLIOMA This primary cardiac paraganglioma infiltrates myocardium at lower right. More about this image found in CARDIAC PARAGANGLIOMA This primary cardiac paraganglioma infiltrates myoca...

ADRENAL MYELOLIPOMA Figure 12-3 ADRENAL MYELOLIPOMA This tumor consists almost entirely of hematopoietic cells. A peripheral rim of normal adrenal cortex is present at right. More about this image found in ADRENAL MYELOLIPOMA This tumor consists almost entirely of hematopoietic c...

ADRENAL CORTICAL ADENOMA IN CUSHING SYNDROME Figure 5-18 ADRENAL CORTICAL ADENOMA IN CUSHING SYNDROME The tumor is composed of clear (upper right) and compact cells (left). More about this image found in ADRENAL CORTICAL ADENOMA IN CUSHING SYNDROME The tumor is composed of clea...

123I-METAIODOBENZYLGUANIDINE (123I-MIBG) SCAN Figure 8-3 123I-METAIODOBENZYLGUANIDINE (123I-MIBG) SCAN Pheochromocytoma of the right adrenal gland is visualized scintigraphically using this technique. More about this image found in 123I-METAIODOBENZYLGUANIDINE (123I-MIBG) SCAN Pheochromocytoma of the righ...

CORTISOL-SECRETING ADRENAL CORTICAL ADENOMA Figure 5-6 CORTISOL-SECRETING ADRENAL CORTICAL ADENOMA Yellow cut surface with focal areas of hemorrhage. The residual adrenal gland (right) is atrophic. More about this image found in CORTISOL-SECRETING ADRENAL CORTICAL ADENOMA Yellow cut surface with focal ...

RETICULIN STAIN Figure 1-31 RETICULIN STAIN Reticulin stain highlights the columns of the zona fasciculata (right), net-like arrangement of the zona reticularis, and nests (“Zellballen”) of chromaffin cells in the adrenal medulla. More about this image found in RETICULIN STAIN Reticulin stain highlights the columns of the zona fascicu...

CAROTID BODY PARAGANGLIOMA Figure 9-29 CAROTID BODY PARAGANGLIOMA Extensive necrosis resulted from preoperative embolization performed to reduce bleeding. Embolic foreign material is present in blood vessel at top right. More about this image found in CAROTID BODY PARAGANGLIOMA Extensive necrosis resulted from preoperative e...

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...

RESECTED NEUROBLASTOMA Figure 11-6 RESECTED NEUROBLASTOMA Gross image of sliced resection specimen of NB without previous chemo therapy treatment. Preexistent adrenal gland in left slice and possible calcifications in second slice from the right. More about this image found in RESECTED NEUROBLASTOMA Gross image of sliced resection specimen of NB with...

ETIOLOGY OF NONIATROGENIC ACTH-DEPENDENT CUSHING SYNDROME Figure 3-2 ETIOLOGY OF NONIATROGENIC ACTH-DEPENDENT CUSHING SYNDROME Normal hypothalamic-pituitary-adrenal axis (upper left), pituitary-dependent Cushing disease (upper right), and ectopic ACTH syndrome. More about this image found in ETIOLOGY OF NONIATROGENIC ACTH-DEPENDENT CUSHING SYNDROME Normal hypothala...

CAROTID BODY PARAGANGLIOMA WITH ADJACENT NORMAL CAROTID BODY Figure 9-21 CAROTID BODY PARAGANGLIOMA WITH ADJACENT NORMAL CAROTID BODY The neoplastic cells in this tumor are larger, more spindled, and clearer than the normal carotid body chief cells (at right). More about this image found in CAROTID BODY PARAGANGLIOMA WITH ADJACENT NORMAL CAROTID BODY The neoplasti...

PHEOCHROMOCYTOMA: CYSTIC DEGENERATION Figure 8-9 PHEOCHROMOCYTOMA: CYSTIC DEGENERATION The large cyst at bottom of this 15-cm tumor most likely results from old hemorrhage or infarction and contains only thin blood-tinged fluid. The small cyst to its right contains degenerating blood. More about this image found in PHEOCHROMOCYTOMA: CYSTIC DEGENERATION The large cyst at bottom of this 15-...