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
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Correct Answer � A
Explanation
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|
Answer : A Adenoma
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The patient shows signs and symptoms of Cushing syndrome (upper truncal obesity and hypercortisolism).
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The surgical specimen reveals a circumscribed tumor of the adrenal cortex that produces cortisol.
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Histologic examination of this tumor reveals nests of clear, lipid-laden epithelial cells.
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None of the other choices describe a benign tumor of glandular epithelial origin
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