CASE 75 A 40-year-old man presents with a recent-onset cough. Fig. 75.1 (A) Contrast-enhanced axial CT image shows a well-defined rounded, lobulated, heterogeneously enhancing left adrenal mass. (B) Coronal reformatted CT image shows multiple enlarged hypodense celiac and mediastinal lymph nodes with a large heterogeneously enhancing left adrenal mass. Computed tomography (CT) scanning reveals a heterogeneously enhancing rounded left adrenal mass with extensive mediastinal and celiac lymphadenopathy (Fig. 75.1). Adrenocortical carcinoma Adrenocortical carcinoma is a rare malignancy of the adrenocortical tissue, with an incidence of 1 to 2 per million population. It is mostly found in adults, with the median age at diagnosis being 44 years. In 70% of diagnosed cases, tumor invades into adjacent tissues by the time of diagnosis.
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33 Islet Cell Tumor of the Pancreas (Insulinoma)
107 Metastatic Liposarcoma with Pseudocystic Sign
70 Left Adrenal Cyst
66 Renal Cell Carcinoma
74 Metastic Renal Cell Carcinoma to the Left Adrenal Gland
71 Myelolipoma
72 Pheochromocytoma
150 Prostate Carcinoma with Extracapsular and Seminal Vesicle Extension
