title: Cytologic diagnosis of adrenal oncocytic pheochromocytoma in a lung cancer patient: Report of a case and review of the literature.
abstract: Adrenal oncocytic pheochromocytoma is an extremely rare type of pheochromocytoma. To the best of our knowledge, we present the first cytological diagnosis of this variant via fine-needle aspiration in an 81-year-old male patient who was found to have an adrenal mass while undergoing workup of the recently diagnosed lung adenocarcinoma. We describe the cytomorphologic findings in our case and provide a review of the reported cases of adrenal oncocytic pheochromocytoma - all of which appear to be benign, nonfunctional, occur in adults, and have similar morphologic features. The pathologist should be aware of this uncommon diagnostic entity and its potential diagnostic pitfalls.
authors.affiliation: Address: Department of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York-Presbyterian Hospital, New York, USA.
authors.forename: Anna S
authors.initials: AS
authors.lastname: Nam
authors.affiliation: Address: Department of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York-Presbyterian Hospital, New York, USA.
authors.forename: June H
authors.initials: JH
authors.lastname: Koizumi
authors.affiliation: Address: Department of Pathology and Laboratory Medicine, Weill Cornell Medical College, New York-Presbyterian Hospital, New York, USA.
authors.forename: Tamar
authors.initials: T
authors.lastname: Giorgadze
keywords: Adrenal; cytology; fine-needle aspiration; oncocytic; pheochromocytoma
references.citation: Am J Surg Pathol. 2000 Nov;24(11):1552-7
references.pmid: 11075859
references.citation: Adv Anat Pathol. 2014 Mar;21(2):69-82
references.pmid: 24508690
references.citation: AJR Am J Roentgenol. 1985 Jul;145(1):113-4
references.pmid: 3873829
references.citation: Urol Int. 2013;91(2):125-33
references.pmid: 23147196
references.citation: Mol Aspects Med. 2010 Apr;31(2):145-70
references.pmid: 20206201
references.citation: Arch Pathol Lab Med. 1990 May;114(5):506-10
references.pmid: 2159272
references.citation: Int J Surg Pathol. 2014 Feb;22(1):33-6
references.pmid: 24406625
references.citation: Ann Diagn Pathol. 2013 Feb;17 (1):123-6
references.pmid: 22056038
references.citation: Am J Surg Pathol. 2010 Mar;34(3):423-32
references.pmid: 20154585
references.citation: Pathol Annu. 1992;27 Pt 1:263-304
references.pmid: 1736246
references.citation: Hum Pathol. 1990 Nov;21(11):1168-80
references.pmid: 2172151