Multidisciplinary team therapy for left giant adrenocortical carcinoma: A case report

Figure 4 Multiple retroperitoneal lymph node metastases increased (the arrow on the left indicates hepatic metastases, the arrow on the right indicates spleen metastases). A: After the peritoneum was visible in the operative area, a nodular soft tissue density shadow with a size of approximately 15 mm × 19 mm could be seen. Multiple patchy slightly low-density shadows could be seen scattered in the liver parenchyma with fuzzy boundaries (the arrow indicates a nodular soft tissue density shadow in the retroperitoneal area); B: Local recurrence and invasion of the spleen were observed, with near-elliptical low-density foci of approximately 17 mm × 24 mm in the leading edge of the spleen. The number of multiple metastases in the liver increased.