医学
肾上腺
嗜铬细胞瘤
孤立性纤维性肿瘤
病态的
肾上腺切除术
鉴别诊断
软组织
放射科
病理
解剖
外科
生物
干细胞
川地34
遗传学
作者
Changjie Shi,Xiu-Quan Shi,Dinglan Wu,Ying Zhang,Dian Fu,Xiaofeng Xu,Wen Cheng
标识
DOI:10.3389/fsurg.2024.1363807
摘要
Solitary fibrous tumor (SFT) is a rare mesenchymal tumor, probably of fibroblastic origin, mainly in the extremities and pleura. Primary SFT of the adrenal gland is clinically more rare. Here, we report the case of a 47-year-old woman who detected a left adrenal mass on physical examination, without any symptoms, and no laboratory abnormalities. A computed tomography (CT) examination of the adrenal gland suggested a round-like soft tissue density shadow in the left adrenal area. An unenhanced scan showed uneven density of the mass, with a scattered circular-like cystic low-density shadow inside, and an enhanced scan showed obvious uneven enhancement. We considered it to be adrenal pheochromocytoma. Ultimately, the patient was treated with laparoscopic left adrenalectomy. A pathological examination suggested an adrenal SFT. We reviewed previous case reports of adrenal SFTs and summarized the clinical characteristics of adrenal SFT combined with the relevant literature. For adrenal tumors with uneven low-density shadow and uneven CT enhancement features, we should consider the differential diagnosis of adrenal SFT.
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