A very rare bilateral adrenal tumor.

[adrenal incidentaloma]

We report a case of very rare adrenal tumor . A 54 -year -old patient was classified as affected by bilateral adrenal incidentaloma that surprisingly , on histology resulted solitary fibrous tumors . Solitary fibrous tumor (SFT ) is an uncommon mesenchymal neoplasm . Only five cases of localization of SFT in adrenal gland are reported in the literature , while the frequency of retroperitoneum localization is more frequent , about 30 cases . Immunohistochemically , SFT can be positive for CD 34 antigen , vimentin , CD 99 , and bcl-2 and usually negative for cytokeratins , chromogranin A , NSE , neurofilaments , synoptophysin , and S-100 . Surgical excision remains the main treatment in fact the recurrence is locoregional and correlated with positive margins due to incomplete excision , while distant metastases are correlated with atypical or malignant features .

Diseases
Validation

Diseases presenting "positive margins" symptom

adrenal incidentaloma

kindler syndrome

pleomorphic liposarcoma

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