![Adenocarcinoma metastasis from lung, 200x M-G-G staining](68040a_200x.jpg)
![Adenocarcinoma metastasis from lung, 200x M-G-G staining](68040b_200x.jpg)
![500x M-G-G, acinar pattern, with peripheral location of the nuclei](68040c.jpg)
![Adenocarcinoma metastasis from lung, 500x M-G-G staining, acinar pattern, with peripheral location of the nuclei](68040e.jpg)
![Adenocarcinoma metastasis from lung, 500x M-G-G staining, acinar pattern, with peripheral location of the nuclei](68040f.jpg)
![Adenocarcinoma metastasis from lung, 500x Pap staining, acinar pattern, with peripheral location of the nuclei](68040_pap.jpg)
Adenocarcinoma: the smears show loose aggregates of malignant epithelial cells, some with pseudoglandular and acinar patterns, with peripheral location of the nuclei, with coarse chromatin and large nucleoli, typical of adenocarcinoma. The cytological diagnosis was adrenal metastases from adenocarcinoma of the lung. The fact the patient has bilateral adrenal masses also favors this diagnosis of metastatic rather than primary adrenal malignancy.
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