{"title":"一个年轻的日本男性患者的肾上腺髓质腺突瘤手术后观察了很长一段时间","authors":"Mitsuhiro Tachibana , Shigeki Fukuzawa","doi":"10.1016/j.eucr.2025.103208","DOIUrl":null,"url":null,"abstract":"<div><div>We describe an exceptionally rare case of sustentaculoma of the left adrenal medulla in a 39-year-old Japanese male. Abdominal computed tomography and magnetic resonance imaging revealed a well-defined, smoothly bordered left adrenal tumor measuring 3.3× 2.3 cm in size. Histologically, the neoplasm comprised irregularly sized solid nests and collagenous fibrosis in the stroma. Immunohistochemical staining revealed positivity for vimentin, S-100 protein, CD56 (NCAM), and CD45 (LCA). No recurrence or metastasis has been observed for 16 years post-surgery. The CD45-positive finding in this case is unique as it is the first reported case in Japan.</div></div>","PeriodicalId":38188,"journal":{"name":"Urology Case Reports","volume":"63 ","pages":"Article 103208"},"PeriodicalIF":0.4000,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Sustentaculoma of the adrenal medulla in a young male Japanese patient observed for an extended period after surgery\",\"authors\":\"Mitsuhiro Tachibana , Shigeki Fukuzawa\",\"doi\":\"10.1016/j.eucr.2025.103208\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>We describe an exceptionally rare case of sustentaculoma of the left adrenal medulla in a 39-year-old Japanese male. Abdominal computed tomography and magnetic resonance imaging revealed a well-defined, smoothly bordered left adrenal tumor measuring 3.3× 2.3 cm in size. Histologically, the neoplasm comprised irregularly sized solid nests and collagenous fibrosis in the stroma. Immunohistochemical staining revealed positivity for vimentin, S-100 protein, CD56 (NCAM), and CD45 (LCA). No recurrence or metastasis has been observed for 16 years post-surgery. The CD45-positive finding in this case is unique as it is the first reported case in Japan.</div></div>\",\"PeriodicalId\":38188,\"journal\":{\"name\":\"Urology Case Reports\",\"volume\":\"63 \",\"pages\":\"Article 103208\"},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2025-09-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Urology Case Reports\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2214442025002797\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Urology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2214442025002797","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
Sustentaculoma of the adrenal medulla in a young male Japanese patient observed for an extended period after surgery
We describe an exceptionally rare case of sustentaculoma of the left adrenal medulla in a 39-year-old Japanese male. Abdominal computed tomography and magnetic resonance imaging revealed a well-defined, smoothly bordered left adrenal tumor measuring 3.3× 2.3 cm in size. Histologically, the neoplasm comprised irregularly sized solid nests and collagenous fibrosis in the stroma. Immunohistochemical staining revealed positivity for vimentin, S-100 protein, CD56 (NCAM), and CD45 (LCA). No recurrence or metastasis has been observed for 16 years post-surgery. The CD45-positive finding in this case is unique as it is the first reported case in Japan.