Multidisciplinary team therapy for left giant adrenocortical carcinoma: A case report

Figure 2 Postoperative pathological results: The tumor cells showed alveolar, solid, trabecular and other growth modes, and the tumor cells showed clear nucleoli and atypia. Some areas of mitotic phase > 20/50 high-power field showed focal necrosis and partial mucinous degeneration. Tumor thrombus could be seen in the vessel. The mass size was 20 cm × 10 cm × 7 cm and was consistent with adrenocortical carcinoma. No renal invasion was observed. Tumor thrombus was observed in the renal vein. Immunohistochemical results revealed the following: S100(-), HMB-45(-), Melan-A (weakly positive), Inhibin-α (weakly positive), CgA(-), CKpan (local focus+), Vimentin(+), Syn(+), TFE3 (nucleus individual+), PAX-8(-), P53 (20% nucleus+), CD34(+), and Ki-67 (15%).