Gary Hammer, M.D., Director of the Adrenal Cancer Program at the University of Michigan Comprehensive Cancer Center discusses whether genetics play a role in this cancer.

Neuroblastoma:
Showing small, round blue tumor cells with faintly eosinophilic fibrillary material (neuropil) that corresponds to neuritic processes of the primitive neuroblasts. Typical Homer-Wright pseudorosettes are seen, in which the tumor cells are concentrically arranged about a central space filled with neuropil.
Paraganglioma
Tumors are composed of clusters of polygonal to spindle shaped chromaffin cells or chief cells with finely granular cytoplasm and salt-and-pepper nuclear chromatin. Tumor cells are surrounded by supporting sustentacular cells, creating small nests or alveoli (zellballen) that are supplied by a rich vascular network.
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Gary Hammer, M.D., Director of the Adrenal Cancer Program at the University of Michigan Comprehensive Cancer Center explains what adrenal cancer is and describes symptoms.

37-year-old female patient (

BMI 20.7) with a right adrenal gland tumor (10 cm)

. She had symptoms of Conn’s syndrome (hypokalemia, hypertension)

. No distant metastases were found in preoperative imaging


.

The patient was scheduled for laparoscopic right adrenalectomy.

The video shows the full procedure (2x speed).