case_images: PMC4310103_01
case_images: Computed tomography scan of the abdomen showing a heterogenously enhancing left adrenal mass with stippled calcification within it
case_images: UA-7-124-g001.jpg
case_images: PMC4310103_01_UA-7-124-g001.jpg
case_images: F1
case_images: Computed tomography (CT) scan of the abdomen revealed a 10.0 cm heterogenously enhancing left adrenal mass with stippled calcification within it [Figure 1].
case_images: Gross specimen showing replacement of the adrenal gland by a well-circumscribed tumor. Cut-surface of the tumor was grey-white and lobulated with focal areas of cystic degeneration and hemorrhage
case_images: UA-7-124-g002.jpg
case_images: PMC4310103_01_UA-7-124-g002.jpg
case_images: F2
case_images: Compressed adrenal tissue was identified at the periphery of the tumor [Figure 2].
case_images: Microphotograph showing tumor comprised of interlacing fascicles of elongated or plump spindle cells with cytologically bland wavy nuclei in a collagenous matrix. (Hematoxylin and eosin, x200 original magnification)
case_images: UA-7-124-g003.jpg
case_images: PMC4310103_01_UA-7-124-g003.jpg
case_images: F3
case_images: Histologically, the tumor comprised of interlacing fascicles of elongated or plump spindle cells with cytologically bland wavy nuclei in a collagenous matrix [Figure 3a]. On immunohistochemistry, the tumor cells were diffusely and strongly positive for S-100 [Figure 3b].