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?
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