Solitary fibrous tumor of the adrenal gland: a case report and review of the literature
- Changjie Shi 1, Xiuquan Shi 1, Ding Wu 2, Ying Zhang 1, Dian Fu 2, Xiaofeng Xu 1,2, Wen Cheng 1,2
- Changjie Shi 1, Xiuquan Shi 1, Ding Wu 2
- 1Department of Urology, Nanjing Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, China.
- 2Department of Urology, Jinling Clinical Medical College of Nanjing Medical University, Nanjing, Jiangsu, China.
- 0Department of Urology, Nanjing Jinling Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, Jiangsu, China.
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View abstract on PubMed
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.
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