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Asymptomatic polypoidal intracavitary cardiac metastases from pulmonary adenocarcinoma
  1. K Gupta1,
  2. K Joshi1,
  3. A N Aggarwal2,
  4. K Vaiphei3
  1. 1
    Department of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  2. 2
    Department of Pulmonary Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  3. 3
    Department of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Dr Kirti Gupta, Department of Histopathology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India; kirtigupta10{at}yahoo.co.in

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A young male presented with right flank pain, fever, cough, loss of weight and appetite. CT of the abdomen revealed a right suprarenal cystic mass measuring 10×8 cm with para-aortic lymphadenopathy along with inferior vena cava (IVC) thrombus. The patient died following cardiac arrest.

At autopsy, the right and left adrenals weighed 160 g and 11 g, respectively. The right adrenal mass (9×8 cm) had a variegated appearance with geographic areas of necrosis. Histology revealed peripherally compressed adrenal cortex with tumour cells showing marked atypia. A thrombus was seen in the right adrenal vein, extending to the IVC. Metastatic deposits were noted in the left adrenal gland, …

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