This week's artwork was donated by Lonny, a pediatric cancer patient who received treatment at The Children's Hospital of Philadelphia .
Clinical case reports.
Prevalence of adrenal and extra-adrenal Conn syndrome in hypertensive patients. Bilateral adrenocortical carcinoma showing loss of heterozygosity at the p53 and RB gene loci. Malignant acanthosis nigricans in adrenal carcinoma. Trauma and cancer are entities that are encountered frequently by surgeons and occasionally may exist simultaneously in certain patients. Illustrated here is the case of a man with a perinephric mass, discovered during evaluation for blunt abdominal trauma, which was originally thought to be a perinephric hematoma and later proved to be an adrenocortical carcinoma.