很大的肾上腺皮质癌，把左肾推向下方，通常是功能性肿瘤(分泌肾上腺皮质激素或性激素)，预后较差。

肾上腺皮质癌：肿块　低倍镜　高倍一　高倍二

This is a large adrenal cortical carcinoma which is displacing the left kidney downward. Such neoplasms are usually functional (secreting corticosteroids or sex steroids). They have a poor prognosis.