Question
13. A 50-year-old woman presents with a 2-year history of upper truncal obesity and depression. Serum levels of glucose and cortisol are elevated. A CT scan of the abdomen reveals a 2-cm suprarenal mass. The surgical specimen is shown in the image. If this neoplasm is benign, which of the following is the most appropriate diagnosis?
| A. |
Adenoma
|
| B. |
Chondroma
|
| C. |
Lipoma
|
| D. |
Papilloma
|
Show Answer
|
Correct Answer � A
Explanation
|
|
Answer : A Adenoma
-
The patient shows signs and symptoms of Cushing syndrome (upper truncal obesity and hypercortisolism).
-
The surgical specimen reveals a circumscribed tumor of the adrenal cortex that produces cortisol.
-
Histologic examination of this tumor reveals nests of clear, lipid-laden epithelial cells.
-
None of the other choices describe a benign tumor of glandular epithelial origin
Like this:
Like Loading...
