Week 256: Case 1

1. Presented by Peter Illei, M.D. and prepared by Todd Sheridan, M.D.

This a 42-year-old female patient was evaluated for uterine fibroids and on the ultrasound exam a right adrenal mass was noted. Subsequent lab tests showed elevated serum testosterone and serum cortisol within normal limits. In addition, the patient had a 1-year history of hirsutism, acne, and hypertension. MRI was performed that showed a right adrenal tumor measuring 4.0 cm. The patient underwent a right adrenalectomy. At gross exam the adrenal weighed 32.5 grams. On cut sections a 4x3.5x3 cm well-circumscribed nodule was identified that was surrounded by a fibrous capsule and by normal appearing narrow rim of adrenal cortex. No necrosis was grossly noted.