KIDNEY & ADRENAL - Secondary Carcinoma

An adrenal, identified by its relationship with the kidneys, grossly enlarged and largely replaced by partly-necrotic tumour.
This man was admitted to hospital on 8th October 1977 after he had collapsed. Four months prior to that he had developed a left-sided hemiparesis. A chest X-ray showed an atalectatic area in the right lower lobe; brain scan showed a possible tumour in the right parietal region. He died in February 1978 and, at autopsy, a carcinoma of the main left lower lobe bronchus was found, with secondary deposits in brain, liver, adrenal and bone; the tumour was a small cell carcinoma.