Case 47

Surgical Pathology Case
 
Clinical Information
  19 year-old female. Two-year history of high blood pressure with severe headache, sweating, dizziness, numbness of her face and heart palpitation .Scan revealed a mass within the gland of Zuckerkandl. The mass measured slightly larger than 3.0cm and was located slightly superior to the umbilical level.
Gross Description
 

The specimen consists of a 4.0 x 3.5 x 2.8 cm brown-red soft tissue fragment. The specimen seems to be well circumscribed, although no distinct capsule is noted on gross examination. The specimen weighs 21 grams. Serial sectioning reveals a single centrally located cystic cavity filled with brown-red fluid. The cavity measures approximately 1.0 cm in diameter.

     
 
     
   
     
 
     
     
 
  HE, 2 HE,10
 
  HE, 20 HE, 20
 
  HE, 40 HE,40
 
  HE, 40 HE, 60
 
  Cytology, 40 Cytology, 60
     
 

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

Gross Photo: MB

Microscopic Photo: Zenggang Pan

Discussion: Zenggang Pan