Case Report

Paediatric Nonfunctioning Adrenocortical Carcinoma with Extension up to Right-Side Heart: Cardiac Surgery Approach

Figure 2

Histopathological examination showing high mitotic activity. Immunoreactivity for the adrenal cortical antigens inhibin (a). Transthoracic echocardiographic (c) findings in the apical four-chamber view showing the serpentine mass extending from the inferior vena cava to the right atrium, through the tricuspid valve to the right ventricle (RV). Intraoperative view (b) showing the tumor after opening of the right atrium (RA).
(a)
(b)
(c)