Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
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Case Report

Volume 3, Number 1, February 2012, pages 63-67


A Rare Case of Collision Tumor: Coexistence of Adrenocortical Adenoma and Pheochromocytoma in the Same Adrenal Gland

Figures

Figure 1.
Figure 1. A: Macroscopic appearance of the “adrenal mass” specimen composed of three pieces with a total weight of 36 grams. B: The cut surfaces of the nodules.
Figure 2.
Figure 2. Histopathological features of pheochromocytoma of the adrenal gland in our patient. A: The trabecular architecture. B: The neoplastic cells diffusely stained with chromogranin. C: Immunoreactivity to S-100 in sustentacular cells. D: The neoplastic cells were negative for inhibin.
Figure 3.
Figure 3. Histopathological features of adrenocortical adenoma of the adrenal gland in our patient. A: The neoplastic cells with intracytoplasmic lipid droplets or eosinophilic cytoplasm. B: The neoplastic cells were diffusely positive for inhibin.

Table

Table 1. Review of the English Literature for Adrenocortical Adenoma and Pheochromocytoma in the Same Adrenal Gland
 
CaseAgeGenderYear*Clinical presentationUrine catecholamineReference
*The publication year of the reference; M: Male; F: Female; N/R: Not reported.
155M1952Headache, hypertensionN/R1
256F1977HypertensionElevated2
346M1985HypertensionElevated3
460F1986Headache, hypertension, palpitationElevated4
553M1988Fatigue, weight lossElevated5
659F2002SilentNormal6
743M2006Headache, hypertension, palpitationElevated7
856M2006Hypertension, chest painElevated7
951F2007HypertensionElevated8
1040F2009HypertensionN/R9
1138F2011Palpitation, chest painElevatedCurrent