case_images: PMC5618744_01
case_images: Heterogeneous mass at the left adrenal gland with smooth borders, containing cystic and hemorrhagic areas.
case_images: CRIPE2017-1329489.001.jpg
case_images: PMC5618744_01_CRIPE2017-1329489.001.jpg
case_images: fig1
case_images: The tumor did not cross the midline and no vascular invasion, lymphadenopathy, or metastases to other abdominal organs were detected with MRI (Figure 1).
case_images: Normocellular heterogeneous bone marrow demonstrating increased number of mature and immature megakaryocytes.
case_images: CRIPE2017-1329489.002.jpg
case_images: PMC5618744_01_CRIPE2017-1329489.002.jpg
case_images: fig2
case_images: There were no tumor cells, pseudorosettes, storage cells, and/or erythrophagocytosis in the bone marrow; thus an immune thrombocytopenia was considered (Figure 2).
case_images: Platelet count during the follow-up.
case_images: CRIPE2017-1329489.003.jpg
case_images: PMC5618744_01_CRIPE2017-1329489.003.jpg
case_images: fig3
case_images: Immediately after the surgery, platelet count was detected 96000/mm3; it was raised to normal levels at the 36th hour after surgery and remained stable afterwards which supported the diagnosis of ITP (Figure 3).
case_images: Neuroblastoma (Schwannian-stroma-poor), differentiating subtype, composed predominantly of differentiating neuroblasts with moderate to abundant acidophilic cytoplasm and enlarged, eccentric nucleus with vesicular chromatin and single prominent nucleolus. Abundant neuropil is also present.
case_images: CRIPE2017-1329489.004.jpg
case_images: PMC5618744_01_CRIPE2017-1329489.004.jpg
case_images: fig4
case_images: Tumor histopathology revealed a Schwannian-stroma-poor, differentiating neuroblastoma with low mitotic rate and low mitosis-karyorrhexis index (MKI < 100/5000 cells) (Figure 4).