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This program offers at least two challenging cases each month from the CAP Performance Improvement Program in Surgical Pathology. For each case, you will use a virtual microscope whole slide image of a surgical specimen to diagnose diseases.
You will be presented with information on each case including: specimen source, clinical history, laboratory findings, and a representative whole slide image of the surgical specimen. After you complete each case, you will receive a case summary with three multiple-choice questions that relate to the case.
Please note: DigitalScope® is supported with Microsoft Internet Explorer 11.0 (limited support for IE 9 and 10) or later, or FireFox 4.0 or later, or Safari 3 or the latest Google Chrome version.
Adrenal Gland
A 47-year-old woman with a history of sickle cell disease presents with increasing abdominal pain. A CBC demonstrates anemia. A computed tomography (CT) scan reveals bilateral adrenal masses, measuring 15 cm in the right adrenal and 6 cm in the left adrenal. Subsequent laboratory workup for endocrine abnormalities is unremarkable. Bilateral adrenalectomy is performed, and gross examination shows well-circumscribed but unencapsulated soft yellow to pink masses in both adrenals, predominantly in the cortices.
Previous Case Challenges
View a list of previous cases using the virtual microscope to examine various surgical specimens and diagnose diseases.