adrenal, cases Week 313: Case 1 April 26, 2023 pathadmin 1. Presented by Peter Illei, M.D. and prepared by Amy Duffield, M.D., Ph.D.Routine check up of this 67 y.o. female patient with hypertension detected elevated potassium levels. Abdominal imaging studies revealed a 4.0 cm mass in the right kidney and a 7.5 cm mass in the left adrenal. A right radical nephrectomy and left total adrenelactomy was performed. Gross exam revealed a 4.0 cm extensively hemorrhagic tumor in the kidney that was confined to the kidney and shoed no evidence of vascular invasion. The adrenal weighed 295 grams and contained a 7.5 cm tumor that was also confined to the adrenal. No necrosis or hemorrhage was noted.images/kidney 6_11_07.jpgimages/kidney IHC 6_11_07.jpgimages/Adrenal 6_11_07.jpgimages/Adrenal IHC 6_11_07.jpgAdrenal cortical carcinoma with metastasis to kidneyRenal cell carcinoma with metastasis to adrenal glandAdrenal cortical carcinoma, and separate renal cell carcinomaAdrenal cortical adenoma, and separate renal cell oncocytoma Loading...