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Adrenal gland pathology

Cortical adenoma, Adrenal gland


Gross: Cut surface shows well-define, encapsulated Solitary yellowish brown nodule in adrenal gland Patho: Large cell with clear cytoplasm and lipid-laden Organoid (nest cell) arrangement Fibrovascular septum between nest cell Round and small vesicular nuclei

Adrenal cortical carcinoma


Gross: Enlarged mass adhered to upper pole kidney cut surface show friable yellowish brown mass Patho: Large cell arrange in cord pattern Anaplastic neoplasm, mitosis Large nucli, pleomorphism Extracapsular extension Foci of necrosis and hemorrhage

Pheochromocytoma
Gross: Well define enlarged mass with encapsulated Compressed adrenal parenchyma Cut surface show solid, homogeneous, yellowish brown Patho: Uniform polygonal cell arrange in cord/nest Round and hyperchormatin nuclei Acidophilic with syncytial cytoplasm Intracellular secreting granule Pericapillary surrounding

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