Adrenals - Revision history

Mikael Häggström: /* Autopsy report */ Compr.

2021-01-30T16:35:09Z

Autopsy report: Compr.

← Older revision		Revision as of 12:35, 30 January 2021
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	*Adrenal glands are normal bilaterally.		*Adrenal glands are normal bilaterally.
	*{{Moderate-begin}}Adrenal glands are ordinarily configured and with no definable focal changes on cut surfaces.{{Moderate-end}}		*{{Moderate-begin}}Adrenal glands are ordinarily configured and with no definable focal changes on cut surfaces.{{Moderate-end}}
			*{{Comprehensive-begin}}The adrenals are normal in size, shape and consistency, with a weight of __ grams on the right and __ grams on the left. The cortices are orange with <normal / increased / decreased thickness>. The medullae are <grey / autolyzed>.{{Comprehensive-end}}

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Mikael Häggström: +Weight

2021-01-30T16:30:30Z

+Weight

← Older revision		Revision as of 12:30, 30 January 2021
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	}}		}}

			{{Comprehensiveness}}
	==Main targets==		==Main targets==
	<gallery>		<gallery>
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	==Autopsy==		==Autopsy==
	===Autopsy processing===		===Autopsy processing===
	In [[autopsy]]~~, make~~ a couple of cuts through the adrenal glands, such as transversal ones, and look mainly for '''[[adrenal tumors]]'''. ~~A comprehensive approach is to remove~~ the adrenals, trim them from excessive adherent fat, and weight them.		In [[autopsy]]:
			*Make a couple of cuts through the adrenal glands, such as transversal ones, and look mainly for '''[[adrenal tumors]]'''.
			*{{Comprehensive-begin}}Remove the adrenals, trim them from excessive adherent fat, and weight them. Their combined weight in an adult human ranges from 7 to 10 grams.<ref>{{cite book\|last1=O'Hare\|first1=A. Munro Neville, Michael J.\|title=The Human Adrenal Cortex Pathology and Biology – An Integrated Approach\|date=1982\|publisher=Springer London\|isbn=9781447113171\|pages=Chapter 4: Structure of the adult cortex}}</ref>{{Comprehensive-end}}

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	===Autopsy report===		===Autopsy report===
	Normal status:		Normal status can be described as either:
	*~~Minimal:~~ Adrenal glands are normal bilaterally.		*Adrenal glands are normal bilaterally.
	*Moderate ~~length:~~ Adrenal glands are ordinarily configured and with no definable focal changes on cut surfaces.		*{{Moderate-begin}}Adrenal glands are ordinarily configured and with no definable focal changes on cut surfaces.{{Moderate-end}}

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Mikael Häggström: /* Autopsy processing */ +Congestion

2020-07-21T14:42:38Z

Autopsy processing: +Congestion

← Older revision		Revision as of 10:42, 21 July 2020
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	<gallery mode=packed heights=220>		<gallery mode=packed heights=220>
	File:Histopathology of adrenal cortical necrosis.jpg\|Adrenal '''cortical necrosis'''. Hemorrhage, fibrin thrombi and short postmortem interval indicate ante-mortem necrosis, otherwise it can be regarded as a postmortem change.<ref>[https://books.google.se/books?id=DuNTznUH8ZkC&pg=PA120 Page 120] in: {{cite book \| last=Rutty \| first=Guy \| title=Essentials of autopsy practice \| publisher=Springer \| publication-place=London New York \| year=2001 \| isbn=978-1-85233-541-0 \| oclc=44769560 \| ref=harv}}</ref>		File:Histopathology of adrenal cortical necrosis.jpg\|Adrenal '''cortical necrosis'''. Hemorrhage, fibrin thrombi and short postmortem interval indicate ante-mortem necrosis, otherwise it can be regarded as a postmortem change.<ref>[https://books.google.se/books?id=DuNTznUH8ZkC&pg=PA120 Page 120] in: {{cite book \| last=Rutty \| first=Guy \| title=Essentials of autopsy practice \| publisher=Springer \| publication-place=London New York \| year=2001 \| isbn=978-1-85233-541-0 \| oclc=44769560 \| ref=harv}}</ref>
			File:Histopathology of adrenal congestion.jpg\|Adrenal '''venous congestion''' in circulatory failure.
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Mikael Häggström: /* Autopsy processing */ Comprehensive

2020-07-15T18:13:46Z

Autopsy processing: Comprehensive

← Older revision		Revision as of 14:13, 15 July 2020
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	==Autopsy==		==Autopsy==
	===Autopsy processing===		===Autopsy processing===
	*In [[autopsy]], make a couple of cuts through the adrenal glands, such as transversal ones, and look mainly for '''[[adrenal tumors]]'''.		In [[autopsy]], make a couple of cuts through the adrenal glands, such as transversal ones, and look mainly for '''[[adrenal tumors]]'''. A comprehensive approach is to remove the adrenals, trim them from excessive adherent fat, and weight them.

	<gallery mode=packed heights=220>		<gallery mode=packed heights=220>

Mikael Häggström: /* Main targets */ ]]

2020-07-02T17:08:53Z

Main targets: ]]

← Older revision		Revision as of 13:08, 2 July 2020
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	==Main targets==		==Main targets==
	<gallery>		<gallery>
	File:Adrenal gland Conn syndrome4.jpg\|link=Adrenal tumors\|'''[[Adrenal tumors]]''']]		File:Adrenal gland Conn syndrome4.jpg\|link=Adrenal tumors\|'''[[Adrenal tumors]]'''
	</gallery>		</gallery>

Mikael Häggström: /* Main targets */ Gallery

2020-07-02T17:08:43Z

Main targets: Gallery

← Older revision		Revision as of 13:08, 2 July 2020
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	==Main targets==		==Main targets==
	*'''[[Adrenal tumors]]'''		<gallery>
			File:Adrenal gland Conn syndrome4.jpg\|link=Adrenal tumors\|'''[[Adrenal tumors]]''']]
			</gallery>

	==Autopsy==		==Autopsy==

Mikael Häggström: cleanup

2020-07-02T17:06:17Z

cleanup

← Older revision		Revision as of 13:06, 2 July 2020
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	*Minimal: Adrenal glands are normal bilaterally.		*Minimal: Adrenal glands are normal bilaterally.
	*Moderate length: Adrenal glands are ordinarily configured and with no definable focal changes on cut surfaces.		*Moderate length: Adrenal glands are ordinarily configured and with no definable focal changes on cut surfaces.


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Mikael Häggström: Moved

2020-07-02T17:05:35Z

Moved

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 ==Autopsy==
 ===Autopsy processing===
-*In [[autopsy]], make a couple of cuts through the adrenal glands, such as transversal ones, and look mainly for tumors (see separate section below).
+*In [[autopsy]], make a couple of cuts through the adrenal glands, such as transversal ones, and look mainly for '''[[adrenal tumors]]'''.
 <gallery mode=packed heights=220>
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 *Moderate length: Adrenal glands are ordinarily configured and with no definable focal changes on cut surfaces.
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Mikael Häggström: /* Adenoma versus carcinoma */ noted

2020-07-02T16:52:55Z

Adenoma versus carcinoma: noted

← Older revision		Revision as of 12:52, 2 July 2020
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	File:Histopathology of adrenocortical adenoma.jpg\|Histopathology of '''adrenocortical adenoma''', most commonly showing clear cells with high lipid contents.<ref>{{cite journal\|last1=Mete\|first1=Ozgur\|last2=Duan\|first2=Kai\|title=The Many Faces of Primary Aldosteronism and Cushing Syndrome: A Reflection of Adrenocortical Tumor Heterogeneity\|journal=Frontiers in Medicine\|volume=5\|year=2018\|issn=2296-858X\|doi=10.3389/fmed.2018.00054}}<br>Attribution 4.0 International (CC BY 4.0) license</ref>		File:Histopathology of adrenocortical adenoma.jpg\|Histopathology of '''adrenocortical adenoma''', most commonly showing clear cells with high lipid contents.<ref>{{cite journal\|last1=Mete\|first1=Ozgur\|last2=Duan\|first2=Kai\|title=The Many Faces of Primary Aldosteronism and Cushing Syndrome: A Reflection of Adrenocortical Tumor Heterogeneity\|journal=Frontiers in Medicine\|volume=5\|year=2018\|issn=2296-858X\|doi=10.3389/fmed.2018.00054}}<br>Attribution 4.0 International (CC BY 4.0) license</ref>
	File:Adrenal cortical carcinoma.JPG\|Gross pathology of '''adrenocortical carcinoma'''. They are generally large, with a tan-yellow cut surface, and often have areas of hemorrhage and necrosis.		File:Adrenal cortical carcinoma.JPG\|Gross pathology of '''adrenocortical carcinoma'''. They are generally large, with a tan-yellow cut surface, and often have areas of hemorrhage and necrosis.
	File:Histopathology of adrenocortical carcinoma.jpg\|Histopathology of '''adrenocortical carcinoma''', with marked mitotic activity ~~with atypical forms~~.		File:Histopathology of adrenocortical carcinoma.jpg\|Histopathology of '''adrenocortical carcinoma''', with marked mitotic activity.
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Mikael Häggström: /* Adrenal tumors */ Expanded

2020-07-02T16:46:59Z

Adrenal tumors: Expanded

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 ==Adrenal tumors==
 [[File:Incidences and prognoses of adrenal tumors.png|thumb|280px|Incidences and prognoses of adrenal tumors.<ref>Data and references for pie chart are located at [https://commons.wikimedia.org/wiki/File:Incidences_and_prognoses_of_adrenal_tumors.png file description page in Wikimedia Commons.]</ref>]]
 <gallery mode=packed heights=200>
 File:Adrenal gland Conn syndrome4.jpg|Gross pathology of '''adrenocortical adenoma'''.
 File:Histopathology of adrenocortical adenoma.jpg|Histopathology of '''adrenocortical adenoma''', most commonly showing clear cells with high lipid contents.<ref>{{cite journal|last1=Mete|first1=Ozgur|last2=Duan|first2=Kai|title=The Many Faces of Primary Aldosteronism and Cushing Syndrome: A Reflection of Adrenocortical Tumor Heterogeneity|journal=Frontiers in Medicine|volume=5|year=2018|issn=2296-858X|doi=10.3389/fmed.2018.00054}}<br>Attribution 4.0 International (CC BY 4.0) license</ref>
 </gallery>
 <gallery mode=packed heights=220>
 File:Histopathology of a pheochromocytoma with coagulative necrosis, annotated.jpg|Histopathology of a '''pheochromocytoma''' with coagulative necrosis, displayed at gross pathology (upper left) and light microscopy at low (upper right), medium (lower left) and high magnification (lower right).
 </gallery>
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