Table 3.

Treatment, Gross Pathologic Findings, And Initial Pathologic Diagnoses For 3 Neonates With Bilateral Adrenal Enlargement And Hypercortisolemia

			Adrenal Weight, g
Case	Surgical Treatment	Age at Adrenalectomy, mo	Right	Left	Gross Appearance	Initial Pathologic Diagnosis
1	Left adrenalectomy and excision of ectopic left adrenal cytomegalic masses (up to 4 × 2.5 × 2 cm)	1	Not resected; gland enlarged	52	Bulging dark brown nodules, externally. Cut surface showed brown lobules limited by a narrow yellow periphery	Multinodular adrenal with cytomegalic changes
2	Bilateral adrenalectomy	2	28.7	15.4	Gyriform appearance with yellow and dark blue areas, externally. Cut surface showed flesh-colored, irregularly shaped lobules, many with a brownish center	Fetal adrenal hyperplasia and adult cortex
3	Bilateral adrenalectomy	3	30.1	22.5	Cerebriform appearance with gray and yellow nodules, externally. Cut surface featured lobules with yellow periphery and central dark red core. Three 0.5-cm pseudocysts	Diffuse adrenocortical hyperplasia with cytomegaly