Abstract
Primary adrenal lymphoma is an extremely rare condition. We describe a case of bilateral adrenal lymphoma in a man aged 55 years who was admitted to our hospital. He had a 3-month history of left flank pain, nausea and vomiting with weight loss. A CT scan at a private hospital revealed bilateral large adrenal masses; the patient was referred to our centre based on these findings. He was evaluated for pheochromocytoma by an endocrinology team; however, all findings were negative. In addition, a cosyntropin stimulation test indicated adrenal insufficiency. A Trucut biopsy of the adrenal gland revealed diffuse large B-cell lymphoma of the adrenal glands, and the patient responded extremely well to chemotherapy.
2016 BMJ Publishing Group Ltd.
MeSH terms
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Adrenal Gland Neoplasms / diagnostic imaging*
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Adrenal Gland Neoplasms / drug therapy*
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Adrenal Insufficiency / diagnostic imaging*
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Antibodies, Monoclonal, Murine-Derived / therapeutic use
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use
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Biopsy
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Cyclophosphamide / therapeutic use
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Diagnosis, Differential
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Doxorubicin / therapeutic use
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Humans
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Lymphoma, Non-Hodgkin / diagnostic imaging*
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Lymphoma, Non-Hodgkin / drug therapy*
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Magnetic Resonance Imaging
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Male
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Middle Aged
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Positron-Emission Tomography
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Prednisone / therapeutic use
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Rituximab
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Tomography, X-Ray Computed
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Vincristine / therapeutic use
Substances
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Antibodies, Monoclonal, Murine-Derived
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R-CHOP protocol
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Rituximab
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Vincristine
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Doxorubicin
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Cyclophosphamide
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Prednisone