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A 55–year-old woman presented with a recent 20 pound weight loss. The subsequent workup included a CT scan of the abdomen which showed a large right adrenal mass. A right adrenalectomy was performed. The tumor weighed 715 grams and measured 14.0 x 9.5 x 8.0 cm. The cut surface of the tumor was hemorrhagic and necrotic. The tumor cells were synaptophysin (+), chromogranin (-), calretinin (+), CD10 (-), cytokeratin (-).
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• Adrenal cortical adenoma
• Adrenal cortical carcinoma
• Metastatic carcinoma
• Renal cell carcinoma
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