PMC4429207_01
A CT scan of the abdomen showing a well encapsulated "adrenal" mass (solid white arrow).
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fig1
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.
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).
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fig2
There were atypical pleomorphic spindle cells forming a herringbone pattern in areas (Figure 2).