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However, there are cases when it is almost impossible to distinguish metastasis from primary adrenal cancer, so an accurate diagnosis requires an immunohistochemical examination.This article presents five unique observations of secondary adrenal tumors that were diagnosed by us in the current surgical material: metastasis of clear cell renal cell carcinoma, follicular variant of papillary thyroid cancer, metastasis of keratinizing squamous cell carcinoma of the cervix, lymphoepithelioma-like carcinoma of the bladder, as well as malignant mesothelioma. Taking into account the extreme rarity of the presented observations, we present an analysis of the literature data.<\/jats:p>","DOI":"10.14341\/probl13195","type":"journal-article","created":{"date-parts":[[2023,9,12]],"date-time":"2023-09-12T10:05:54Z","timestamp":1694513154000},"page":"11-20","update-policy":"https:\/\/doi.org\/10.14341\/crossmarkpolicy2018","source":"Crossref","is-referenced-by-count":0,"title":["Metastatic lesions of the adrenal glands. The experience of Endocrinology Research Center."],"prefix":"10.14341","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8136-0117","authenticated-orcid":true,"given":"N. V.","family":"Pachuashvili","sequence":"first","affiliation":[{"name":"Institute of Clinical Morphology and Digital Pathology, I.M. Sechenov First Moscow State Medical University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1857-5083","authenticated-orcid":true,"given":"A. 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