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(A) Axial contrast-enhanced computed tomography (CT) scan showing the right adrenal tumor. (B) CT coronal section showing the right adrenal tumor.
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Abdominal ultrasound revealed a large adrenal tumor. A computed tomography scan revealed a right adrenal tumor measuring 6.0x4.0 cm (Fig. 1).
Pathological examination showing pleomorphic rhabdomyosarcoma. (A) Hematoxylin and eosin staining. Spindle-shaped cells arranged in a fascicular pattern were present. (B) Immunohistochemical staining showing positivity for (B) MyoD1, (C) desmin, (D) CD56 and (E) vimentin. Magnification, x200.
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Pathological examination of the surgical specimen was pleomorphic RMS containing spindle cells (Fig. 2A). Immunohistochemistry revealed a positive stain for MyoD1, desmin, vimentin and CD56 (Fig. 2B-D).