PMC6192140_01
CT of abdomen showing 8.1 cm heterogeneous left adrenal mass.
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Computed Tomography (CT) of abdomen showed an 8.1 cm heterogeneous left adrenal mass, several bibasilar lung nodules, and several hypodense liver lesions concerning metastatic disease (Figure 1).
EUS showing irregular, hypoechoic left adrenal mass measuring 63 x 44 mm.
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EUS-FNA and CB of the left adrenal mass were performed. EUS revealed an irregular, hypoechoic mass, measuring at least 6.3 cm x 4.4 cm in maximal cross-sectional diameter (Figure 2).
Two hypoechoic round lesions in the left lobe of the liver.
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Two hypoechoic round lesions in the left lobe of the liver were also identified but not sampled (Figure 3).
(a) Spindle cell neoplasm with extensive tumor necrosis. (b) High power view showing fascicular growth pattern and cytological pleomorphism.
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Pathology revealed a spindle cell neoplasm with extensive necrosis (Figure 4).