case_images: PMC11188357_01
case_images: Non-contrast: a round-like soft tissue density shadow in the left adrenal area, with a scattered circular-like cystic low-density shadow inside. Corticomedullary phase, nephrogenic phase, and excretory phase showed obvious uneven enhancement, with scattered circular-like cystic low-density shadow inside.
case_images: fsurg-11-1363807-g001.jpg
case_images: PMC11188357_01_fsurg-11-1363807-g001.jpg
case_images: F1
case_images: An unenhanced scan displayed uneven density with scattered circular-like cystic low-density shadows inside, while an enhanced scan showed obvious uneven enhancement suggestive of pheochromocytoma (PHEO) (Figure 1).
case_images: Hematoxylin and eosin staining showed that the tumor cells are spindle-shaped and are distributed in a sheet pattern, with blood vessels (left, x100; right, x200). Immunohistochemical staining: CD34 positive (3+); STAT6 positive (3+); Syn positive (1+); Ki-67 is approximately 5% (+).
case_images: fsurg-11-1363807-g002.jpg
case_images: PMC11188357_01_fsurg-11-1363807-g002.jpg
case_images: F2
case_images: A postoperative pathological examination indicated a spindle cell tumor with the immunohistochemistry (IHC) panel showing CD34(3+), STAT6(3+), Synaptophysin (Syn; 1+), CgA(-), S-100(-), desmin(-), SMA(-), SOX10(-), Alpha-inhibin(-), and Ki-67 at approximately 5% (+) (Figure 2).