Qap (Anatomical Pathology) 

QAP Peer Review

AP308
Case History: M/52 Hypertension, Cushing syndrome, bilateral adrenalectomy. Each adrenal measured 15 cm and weighed >150 gm
Intended diagnosis: Macronodular adrenal hyperplasia. Contributed by:MST
Code Diagnosis Comment Score
anonymous Adrenal cortical hyperplasia nil  100
anonymous Adrenal cortical carcinoma nil  0
anonymous Bilateral adrenal nodular hyperplasia, 100% Look for central cause or paraneoplastic syndrome  100
anonymous Adrenal cortical hyperplasia nil  100
anonymous MACRONODULAR ADRENAL HYPERPLASIA nil  100
anonymous Adrenocortical macronodular hyperplasia nil  100
anonymous Adrenal - Adrenocortical hyperplasia 100% To sample adequately to rule out features of neoplasm. To alert on possibility of ectopic ACTH production to account for the florid adrenal hyperplasia.  100
anonymous Macronodular hyperplasia with marked adrenal enlargement, 100% nil  100
anonymous Adrenocortical hyperplasia, suggestive of ACTH-independent macronodular adrenal hyperplasia Check for blood ACTH  100
anonymous MHMAE (Macronodular hyperplasia with marked adrenal enlargement). nil  100
anonymous Adrenal cortical neoplasm nil  70
anonymous Adrenal cortical adenoma (100%) nil  70
anonymous Macronodular Adrenal Hyperplasia 100% Diagnosis in conjunction with clinical findings and bilateral organ size and weight.  100
anonymous Features consistent with adrenal cortical hyperplasia (100%) Need to look for ACTH producing pituitary tumour or ectopic ACTH secretion.  100
anonymous Macronodular hyperplasia with marked adrenal enlargement (100% Probability). nil  100
anonymous Adrenocortical macronodular hyperplasia nil  100
anonymous Adrenal cortical hyperplasia (100%) nil  100
anonymous Macronodular hyperplasia with marked adrenal enlargement 100% nil  100