ADRENAL CORTICAL CARCINOMA
A 16 year old girl presented with virilism and abdominal pain. At laparotomy this mounted specimen and a benign (probably unrelated) teratoma of the ovary were removed. The patient developed spinal and lung metastases one year later.
The large adrenal tumour and right kidney have been sliced longitundinally to display the cut surface. The tumour contains a central scar from which fibious septa radiate. The remainder of the tumour has a variegated yellow area, brown appearance with areas of haemorrhage and necrosis. This is an adrenal cortical carcinoma.
Adrenal cortical carcinoma, unlike most carcinomas, may occur in children.