Solitary fibrous tumor of the adrenal gland: a case report and review of the literature

  • 0Department of Urology, Nanjing Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, China.

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Summary

This summary is machine-generated.

Solitary fibrous tumors (SFTs) are rare mesenchymal tumors. This case highlights adrenal SFT, emphasizing CT imaging features for differential diagnosis in adrenal masses.

Area Of Science

  • Oncology
  • Pathology
  • Radiology

Background

  • Solitary fibrous tumor (SFT) is a rare mesenchymal neoplasm, typically originating in the pleura or extremities.
  • Primary adrenal gland SFT represents an exceptionally rare clinical presentation of this tumor type.

Observation

  • A 47-year-old asymptomatic woman presented with a left adrenal mass detected incidentally.
  • CT imaging revealed a round-like soft tissue density with uneven density, cystic low-density areas, and significant uneven enhancement.

Findings

  • Initial CT findings suggested pheochromocytoma, but pathological examination post-laparoscopic adrenalectomy confirmed an adrenal SFT.
  • Literature review and case analysis underscore specific CT characteristics for adrenal SFT diagnosis.

Implications

  • Adrenal tumors exhibiting uneven low-density shadows and heterogeneous CT enhancement warrant consideration for SFT in differential diagnosis.
  • This case expands the understanding of rare adrenal SFT presentations and diagnostic imaging features.