Cortical Adenoma in Adrenohepatic Fusion Tissue: Clue to Making a Correct Diagnosis at Preoperative Computed Tomography Examination Byung Kwan Park,

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Cortical Adenoma in Adrenohepatic Fusion Tissue: Clue to Making a Correct Diagnosis at Preoperative Computed Tomography Examination Byung Kwan Park, Chan Kyo Kim, Byong Chang Jung, Yeon-Lim Suh European Urology Volume 56, Issue 6, Pages 1082-1085 (December 2009) DOI: 10.1016/j.eururo.2009.05.007 Copyright © 2009 European Association of Urology Terms and Conditions

Fig. 1 A 45-yr-old female with a lipid-rich adenoma arising from the adrenohepatic fusion tissue: Contrast-enhanced computed tomography image shows a heterogeneously enhancing solid mass (arrow) in the right lobe of the liver. European Urology 2009 56, 1082-1085DOI: (10.1016/j.eururo.2009.05.007) Copyright © 2009 European Association of Urology Terms and Conditions

Fig. 2 Specimen photograph shows a yellowish adrenal tumor (arrow) attached to the liver (L). The medial limb (arrowheads) of the right adrenal gland is also attached to the liver and is continuous with the adrenal lesion. European Urology 2009 56, 1082-1085DOI: (10.1016/j.eururo.2009.05.007) Copyright © 2009 European Association of Urology Terms and Conditions

Fig. 3 Photomicrograph (hematoxylin and eosin stain, ×10) also shows adhesion between the liver (L), adrenal adenoma (A), and right adrenal limb (arrowheads); however, no capsule is noted between them. European Urology 2009 56, 1082-1085DOI: (10.1016/j.eururo.2009.05.007) Copyright © 2009 European Association of Urology Terms and Conditions

Fig. 4 Photomicrograph (hematoxylin and eosin, ×200) shows close intermingling of clear cells of adrenal cortical adenoma (A) and hepatocytes (open arrows). BD=bile duct; HA=hepatic artery; PV=portal vein. European Urology 2009 56, 1082-1085DOI: (10.1016/j.eururo.2009.05.007) Copyright © 2009 European Association of Urology Terms and Conditions

Fig. 5 Unenhanced axial computed tomography (CT) image shows a hypodense mass (arrow) measuring 6 Hounsfield units in mean CT number. European Urology 2009 56, 1082-1085DOI: (10.1016/j.eururo.2009.05.007) Copyright © 2009 European Association of Urology Terms and Conditions

Fig. 6 Oblique multiplanar reformation image demonstrates that a medial limb (arrowheads) of the right adrenal gland is continuous with the adrenal coritical adenoma (arrow) attached to the liver (L). These imaging features are well correlated with those in Fig. 2. RK=right kidney. European Urology 2009 56, 1082-1085DOI: (10.1016/j.eururo.2009.05.007) Copyright © 2009 European Association of Urology Terms and Conditions