case_images: PMC4429207_01
case_images: A CT scan of the abdomen showing a well encapsulated "adrenal" mass (solid white arrow).
case_images: CRIE2015-830814.001.jpg
case_images: PMC4429207_01_CRIE2015-830814.001.jpg
case_images: fig1
case_images: A CT scan several months later showed a 2.7 x 3.9 cm left adrenal incidentaloma (Figure 1), and she was referred to the endocrine clinic.
case_images: Microscopic appearances of the leiomyosarcoma on the right (solid white arrow) and normal adrenal gland on the left (haematoxylin and eosin staining). The cells were strongly positive for smooth muscle actin and desmin on immunostaining (not shown).
case_images: CRIE2015-830814.002.jpg
case_images: PMC4429207_01_CRIE2015-830814.002.jpg
case_images: fig2
case_images: There were atypical pleomorphic spindle cells forming a herringbone pattern in areas (Figure 2).