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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
"while distant metastases are correlated with atypical or malignant features"
symptom
adrenal incidentaloma
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