Adrenal cortical carcinoma Quiz: Ace Your Exams
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A 49-year-old woman comes to her physician due to progressive weight gain and fatigue over the last 2 months. She is no longer able to do her job as a warehouse worker because of difficulty lifting heavy boxes. Past medical history is noncontributory. Her temperature is 37.0°C (98.6°F), pulse is 84/min, and blood pressure is 165/95 mmHg. Physical examination reveals scattered ecchymoses. There is symmetric proximal muscle weakness of the upper and lower extremities. 24-hour urine free-cortisol concentration is markedly elevated, and ACTH level is reduced. Abdominal CT shows a tumor in the right adrenal gland. Which of the following sections in the contralateral adrenal gland is most likely to show the greatest atrophy?
Image reproduced from Wikimedia Commons
Image reproduced from Wikimedia Commons
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