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Adrenal gland and paraganglia

Congenital anomalies

Beckwith-Wiedemann syndrome


Reviewer: Nat Pernick, M.D. (see Reviewers page)
Revised: 6 February 2013, last major update February 2005
Copyright: (c) 2002-2013, PathologyOutlines.com, Inc.

General
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● Visceromegaly, gigantism, macroglossia, abdominal wall defects, craniofacial abnormalities, midfacial hypoplasia and adrenocortical hyperplasia
● Due to abnormality of 11p15.5
● Incidence of 1 per 13,000 births, usually sporadic
● May have brain damage due to hypoglycemia, causing mental retardation or death
● May develop Wilm’s tumor, adrenocortical carcinoma, neuroblastoma, pancreatoblastoma or pheochromocytoma

Gross description
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● Enlarged adrenal glands up to 16g, may be cerebriform and nodular

Gross images
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Large lobulated adrenal glands

Micro description
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● Bilateral cytomegaly with large and pleomorphic nuclei and cytoplasmic nuclear pseudoinclusions
● Also medullary hyperplasia; variable hemorrhagic macrocysts

Micro images
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Adrenal cytomegaly

End of Adrenal gland and paraganglia > Congenital anomalies > Beckwith-Wiedemann syndrome


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