College of American Pathologists
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2008 — May Case of the Month

Updated July 1, 2008


CAP Foundation May 2008 Online Case of the Month

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A 45-year-old woman with headaches and palpitations was found to be hypertensive and to have a left adrenal gland mass. The resected adrenal gland weighed 120 grams and was largely occupied by an 8.0 cm circumscribed mass with a mottled gray and red cut surface and central cystic change. A compressed rim of adrenal cortex was splayed over the surface.

The master list with the correct answer

  • Adrenal cortical adenoma
  • Adrenal medullary hyperplasia
  • Adrenal pseudocyst
  • Metastatic carcinoma
  • Pheochromocytoma

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  • Appropriate diagnosis
  • Critique
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