A Giant 5000 g Primary Adrenocortical Carcinoma: A Case Report and Literature Review

Figures

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  FIGURE 1. CT of abdomen. A heterogeneous huge mass in the left adrenal gland.

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  FIGURE 2. Patient is getting prepared for operation. The huge abdominal mass is visible.

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  FIGURE 3. The resected mass, which is very huge and weighed 5 kg.

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  FIGURE 4. H&E stain; it shows nests of atypical adrenocortical cells with fibrovascular septa and adjacent necrosis.

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  FIGURE 5. H&E stain; it shows nuclear pleomorphism, prominent nucleoli, increased mitoses, and eosinophilic‐to‐clear cytoplasm.

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  FIGURE 6. Immunohistochemical staining (IHC) for SF1 shows nuclear positivity with variable intensity.

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  FIGURE 7. IHC for Ki67 shows 10%–12% proliferative index.