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Case 53

Surgical Pathology Case

Clinical Information
 

A 69-year-old male presented with long standing uncontrollable hypertension,  hypokalemia, hyperaldosteronism. CT of the abdomen showed bilateral adrenal masses with the left 4.63.3 cm  and the right 4.42.5 cm. He had extensive biochemical evaluation including : serum catecholamines on multiple occasions that were normal, 24 hr urine studies that showed normal cortisol. Aldosterone levels were elevated on a number of occasions. He had two EGD for dysphagia and two gastrinomas were found in duodenal polyps. Other history includes: Iron deficient anemia, diabetes mellitus, left hemithyroidectomy for thyroid adenoma.

     
 
  HE, 2 HE, 2
 
  HE, 4 HE, 4
 
  HE, 10 HE, 10
 
  HE, 10 HE, 10
 
  HE, 40 HE, 40
 
  HE, 40 HE, 40
     
 

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Source: Department of Pathology, Creighton University Medical Center, Omaha, NE

Photo: Zenggang Pan

Discussion: Zenggang Pan