Fig. 1

a The multiple intensity projection image of the patient diagnosed as primary adrenal tumor showing right adrenal enlarged mass, abdominal metastatic lymph nodes and lung metastases. b The follow-up F-18 FDG PET/CT MIP image of the same patient two sickles after the chemotherapy showing shrinkage of the primary tumor, and no lymph node metastasis but also new developing lung metastasis and bone marrow uptake were also observed. c Cohesive tumor cell clusters with focal necrosis, HE, 40 ×. d Tumor cells with nuclear atypia and necrosis, HE, 200 ×.Table 1: The characteristics and results findings of the patients included in the study