case_images: PMC7784096_01
case_images: (A) Suprarenal mass with hypodense areas displacing the right kidney postero-inferiorly (CT Abdomen axial view); (B) CT Abdomen (coronal view).
case_images: JAFES-34-1-095-g001.jpg
case_images: PMC7784096_01_JAFES-34-1-095-g001.jpg
case_images: f0001
case_images: There were hypodense areas within the tumour, representing areas of necrosis (Figure 1A and 1B).
case_images: (A) Huge mass measuring 16 cm x 14 cm x 11 cm, weighing 1610.6 g, comparing to the normal right adrenal gland (4.0 cm x 3.5 cm x 1.3 cm); (B) Normal right adrenal measuring 4.0 cm x 3.5 cm x 1.3 cm.
case_images: JAFES-34-1-095-g002.jpg
case_images: PMC7784096_01_JAFES-34-1-095-g002.jpg
case_images: f0002
case_images: Both the tumour and right adrenal were removed (Figure 2A and 2B).
case_images: (A) Dedifferentiated area composed of diffuse sheets of pleomorphic cells displaying large irregular nuclei with vesicular chromatin, inconspicuous nucleoli and moderate eosinophilic cytoplasm. Numerous bizarre and multinucleated cells are seen (H&E, x40); (B) Fluorescence in situ hybridization (FISH) analysis for MDM2 gene using MDM2/CEP 12 probe (green signal) (VYSIS), shows many nuclei with amplified signals (red signal), i.e., consistent with MDM2 gene amplification.
case_images: JAFES-34-1-095-g003.jpg
case_images: PMC7784096_01_JAFES-34-1-095-g003.jpg
case_images: f0003
case_images: Histopathological examination of the tumour revealed a FNCLCC (Federation Nationale des Centres de Lutte Centre Le Cancer) grade 2 dedifferentiated liposarcoma (Figure 3A and 3B).