ADRENAL GLAND - Secondary Carcinoma

The specimen shows kidney which is unremarkable and the adjacent adrenal gland which is expanded and replaced by tumour.
This man had a history of tuberculosis of the right lung with a right lower lobectomy in 1953. In December 1975 he presented with swelling of the face and breathlessness and subsequently was found to have osteolytic lesions in the ribs and vertebrae. Biopsy of a rib showed a poorly differentiated carcinoma. At autopsy the lesion was found to be a poorly differentiated adeno-carcinoma probably arising from the lung with secondaries in adrenals and bones.