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Among adrenal incidentalomas, pheochromocytomas are rare. Malignant pheochromocytoma is even less common, and it typically presents with classic hormonal symptoms, such as palpitations, labile blood pressures, and headaches. Bony metastasis usually occurs late in disease, but we report an unusual case of incapacitating bony pain as the initial presentation of malignant pheochromocytoma. Our patient...
The application of standardized protocol by pathologists for handling, grossing, and assessing endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) specimens is critical for accurate diagnosis. To best analyze the specimen, several factors, such as maintenance of proper orientation, meticulous macroscopic examination, accurate mapping of the lesion, and appropriate morphologic...
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