The histopathology and ultrastructural features of an adrenocortical oncocy
toma are reported. The tumour was discovered incidentally during investigat
ion for hypertension in a 72 year old female. Oncocytic tumours of the adre
nal cortex are rare, with only 20 examples described in English language re
ports. Most have been non-functioning and benign, like the present example.
Molecular studies may help assess the significance of oncocytic change in
the pathogenesis and behaviour of oncocytic neoplasms.