Calcifying fibrous pseudotumour of the adrenal gland
F Eftekhari, MD
1
J L Ater, MD
2
A G Ayala, MD
3 and
B A Czerniak, MD, PhD
3
1 Division of Diagnostic Imaging, Box 057
2 Division of Pediatrics, Box 087
3 Division of Pathology and Laboratory Medicine, Box 085, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, TX 77030, USA
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Figure 1. Calcifying fibrous pseudotumour of the left adrenal gland. (a) Contrast enhanced CT showing a large solid mass (black arrowheads) displacing the spleen (S) anteriorly. The lateral segment of the liver was seen at a higher level. Notice coarse calcifications (white open arrow) and also the enlarged retroperitoneal nodes (black open arrows). (b) Contrast enhanced CT showing the caudal extent of the calcified mass (white arrowheads) compressing the left kidney. Notice left paraaortic nodes (large tapered black arrow) and incidental renal cyst.
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Figure 2. Surgical resection specimen of the mass showing a posteriorly located cleft (black arrows) corresponding to that shown on Figure 1 .
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Figure 3. Microscopic features of calcifying fibrous pseudotumour. (A) Low power view showing spindle cell proliferation without atypia, coarse collagen fibres and focal dystrophic calcifications ( x 100). (B) Chronic lymphoplasmocytic inflammatory cell infiltrates scattered throughout the tumour and forming more prominent aggregates focally ( x 200).
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Copyright © 2001 by the British Institute of Radiology.
