PMC4310103_01
Computed tomography scan of the abdomen showing a heterogenously enhancing left adrenal mass with stippled calcification within it
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F1
Computed tomography (CT) scan of the abdomen revealed a 10.0 cm heterogenously enhancing left adrenal mass with stippled calcification within it [Figure 1].
Gross specimen showing replacement of the adrenal gland by a well-circumscribed tumor. Cut-surface of the tumor was grey-white and lobulated with focal areas of cystic degeneration and hemorrhage
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F2
Compressed adrenal tissue was identified at the periphery of the tumor [Figure 2].
Microphotograph showing tumor comprised of interlacing fascicles of elongated or plump spindle cells with cytologically bland wavy nuclei in a collagenous matrix. (Hematoxylin and eosin, x200 original magnification)
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F3
Histologically, the tumor comprised of interlacing fascicles of elongated or plump spindle cells with cytologically bland wavy nuclei in a collagenous matrix [Figure 3a]. On immunohistochemistry, the tumor cells were diffusely and strongly positive for S-100 [Figure 3b].