case_images: PMC5203868_01
case_images: A 32 x 40 mm homogeneous mass (white arrow) in the left adrenal region showing a regular contour on computed tomography.
case_images: CRIPE2016-1210874.001.jpg
case_images: PMC5203868_01_CRIPE2016-1210874.001.jpg
case_images: fig1
case_images: A dynamic computed tomography (CT) scan of the abdomen confirmed the ultrasound findings and revealed a 32 x 40 mm homogeneous mass in the left adrenal region with a regular contour (Figure 1).
case_images: A solid mass (white arrow) 35 x 37 mm in diameter was identified in the left adrenal region in magnetic resonance imaging.
case_images: CRIPE2016-1210874.002.jpg
case_images: PMC5203868_01_CRIPE2016-1210874.002.jpg
case_images: fig2
case_images: Abdominal magnetic resonance imaging was performed to further characterize the lesion and a solid mass 35 x 37 mm in diameter was detected in the left adrenal region (Figure 2).
case_images: Macroscopic appearance of the tumor. The tumor capsule is smooth and the tumor contains yellow and gelatinous areas as well as hemorrhages.
case_images: CRIPE2016-1210874.003.jpg
case_images: PMC5203868_01_CRIPE2016-1210874.003.jpg
case_images: fig3
case_images: There were yellow and gelatinous areas as well as hemorrhages (Figure 3).
case_images: The tumor's microscopic sections: the fibrous capsule (C) and Antoni A areas where the cells showed a Palisade sequence (A) and hypocellular/loose Antoni B areas (B) (Hematoxylin and Eosin, x100).
case_images: CRIPE2016-1210874.004.jpg
case_images: PMC5203868_01_CRIPE2016-1210874.004.jpg
case_images: fig4
case_images: In the microscopic evaluation, there were hypocellular and loose areas (Antoni B) under the fibrous capsule and there were areas where the cells showed a Palisade sequence (Antoni B) (Figure 4).