case_images: PMC4317207_01
case_images: (A) Left adrenal mass - demonstrating initial size on imaging for gastrinomas. (B) Left adrenal mass - 18 months after (A) - significant increase in size.
case_images: ccr30003-0029-f1.jpg
case_images: PMC4317207_01_ccr30003-0029-f1.jpg
case_images: fig01
case_images: On serial imaging, an enlarging left adrenal mass was noted (Fig.1A and B), which was functionally inactive and interestingly non-Dotatate-avid.
case_images: H&E stain demonstrating haphazard arrangement of the bland spindle cells and nerve fiber bundles of the MPNST 40 x.
case_images: ccr30003-0029-f2.jpg
case_images: PMC4317207_01_ccr30003-0029-f2.jpg
case_images: fig02
case_images: To the surprise of the surgeon, histopathology (Fig.2) demonstrated a MPNST: Federation Nationale des Centres de Lutte Contre le Cancer (FNCLCC) grade 3.