Cited by 921Adrenal and Paraganglionic TumorsAdrenal Hormones and DisordersRenal cell carcinoma treatment

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Comparative histologic study of 43 metastasizing and nonmetastasizing adrenocortical tumors

Weiss, Lawrence M.·1984·The American Journal of Surgical Pathology

DOI 10.1097/00000478-198403000-00001

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Abstract

A series of 43 adrenocortical tumors was analyzed using nine histologic features. Mitotic activity, especially with atypical forms, and venous invasion correlated best with metastasizing or recurring tumors; however, no single criterion was useful alone. The combination of the following nine criteria was most useful in distinguishing malignant from benign tumors: nuclear grade III or IV; mitotic rate greater than 5/50 high-power fields; atypical mitoses; clear cells comprising 25% or less of the tumor; a diffuse architecture; microscopic necrosis; and invasion of venous, sinusoidal, and capsular structures. None of the 24 tumors with two or less of these criteria metastasized or recurred, while all but one of the 19 tumors with four or more of these criteria either recurred or metastasized.

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Authors: Weiss, L. M.
Corresponding author: Weiss, Lawrence M.
ORCID: Weiss, Lawrence M.
Venue: The American Journal of Surgical Pathology
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 1984-03
Volume: 8
Issue: 3
Pages: 163-170
ISSN: 0147-5185 (ISSN-L)
DOI: 10.1097/00000478-198403000-00001
OpenAlex: W2039836243
Cited by: 920
References: 0
Citations by year: 2026: 21 · 2025: 19 · 2024: 24 · 2023: 23 · 2022: 31 · 2021: 38 · 2020: 36 · 2019: 24 · 2018: 32 · 2017: 28 · 2016: 39 · 2015: 44 · 2014: 50 · 2013: 29 · 2012: 26
FWCI: 6.86
Type: journal article
Language: en
Open access: closed
Locations: The American Journal of Surgical Pathology (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Surgery › Adrenal and Paraganglionic Tumors
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Adrenal Hormones and Disorders
Health Sciences › Medicine › Oncology › Renal cell carcinoma treatment
Keywords: adrenocortical tumors, adrenal metastasis, tumor recurrence, histologic grading, mitotic activity, atypical mitoses, venous invasion, capsular invasion, clear cells, tumor differentiation, adrenocortical carcinoma
MeSH terms: Adenoma, Adrenal Cortex Neoplasms, Adult, Aged, Carcinoma, Female, Humans, Male, Middle Aged, Mitosis, Necrosis, Neoplasm Recurrence, Local, Prognosis

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Comparative histologic study of 43 metastasizing and nonmetastasizing adrenocortical tumors

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