PMC4317207_01
(A) Left adrenal mass - demonstrating initial size on imaging for gastrinomas. (B) Left adrenal mass - 18 months after (A) - significant increase in size.
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fig01
On serial imaging, an enlarging left adrenal mass was noted (Fig.1A and B), which was functionally inactive and interestingly non-Dotatate-avid.
H&E stain demonstrating haphazard arrangement of the bland spindle cells and nerve fiber bundles of the MPNST 40 x.
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fig02
To the surprise of the surgeon, histopathology (Fig.2) demonstrated a MPNST: Federation Nationale des Centres de Lutte Contre le Cancer (FNCLCC) grade 3.