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Table 4 Histology: Wieneke score

From: Adrenocortical tumors in children: Sri Lankan experience from a single center, and a mini review

Histological criteria

Patient 1

Patient 2

Patient 3

Patient 4

Patient 5

Patient 6

Patient 7

Tumor weight > 400 g

No

No

No

No

No

No

No

Tumor size > 10.5 cm

No

Yes

No

No

No

Yes

Yes

Extension in to periadrenal soft tissue or adjacent organs

No

No

No

No

Yes

No

No

Vena cava invasion

No

No

No

No

No

No

No

Venous invasion

No

No

Yes

No

No

Yes

No

Capsular invasion

No

No

Yes

No

Yes

Yes

Yes

Tumor necrosis present 50–60%

Yes

No

Yes

Yes

Yes

Yes

Yes

Mitosis > 15/20 hpf

No

No

Yes

Yes

No

No

Yes

Atypical mitotic figures

Yes

Yes

No

Yes

Yes

No

Yes

Total

2

2

4

3

4

4

5