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MRI showing the large tumor adjacent (in contact) with the left kidney.
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The initial assessment of the hepatopathy with abdominal MRI incidentally revealed a heterogeneous lesion of the left adrenal gland, measuring 62 x 69 mm, with a spontaneous hyperintense T1 signal (Fig. 1).
18FDG-PET-CT combined with contrast CT-scan showing the hypermetabolic left adrenal tumor, without distant metastases.
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Neither other lesions nor hypermetabolic lymph nodes were found (Fig. 2, Fig. 3).
Macroscopically the tumor was well-circumscribed with a red-brown colour (A), delimited by a fibrous capusule (B) which was focally infiltrated (C). Tumor was composed of large cells with abundant eosinophilic cytoplasm (D), positive for melan A (E). The ki67 proliferative index was 3% (F).
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On section, it was red-brown with a central haemorrhagic area (Fig. 4A). The Ki67 index was 3% (Fig. 4B-D).