Functional Adrenocortical Adenoma in a Child with Beckwith–Wiedemann Syndrome

Table 2

Wieneke index criteria in our patient.

Wieneke criteria	Our case
Tumor weight >400 g	23.5 g
Tumor size >10.5 cm	(5 × 4 × 2.8) cm
Extension into periadrenal soft tissues and/or adjacent organs	Not present
Invasion into vena cava	Not present
Venous invasion	Not present
Capsular invasion	Focal invasion
Presence of tumor necrosis	Not present
>15 mitoses per 20 HPF	>5/50 HPF
Presence of atypical mitotic figures	Rare

HPF: high-power fields.