Bilateral adrenal lymphoma with neoplastic angioendotheliosis.
We report a case of bilateral lymphoma of the adrenal glands. A 61-year-old man was admitted to our hospital in clinical shock with anuria. Endocrine examination indicated a diagnosis of Addison's disease. Large tumors were found bilaterally in the suprarenal area, and a needle biopsy was performed, and the diagnosis was malignant lymphoma. Treatment with chemotherapy achieved a moderate response. He was discharged, but died 1 month later. On autopsy, microscopic examination showed extensive intravascular infiltration of lymphoma cells. We considered this to be a case of bilateral adrenal lymphoma with neoplastic angioendotheliosis.
Kubo
M
M
Department of Internal Medicine, Kinki Central Hospital, Hyogo.
Koga
M
M
Fujii
T
T
Kaneko
T
T
Yamashita
K
K
Kokubu
T
T
D058186:Acute Kidney Injury / Q000209:etiology; D000224:Addison Disease / Q000209:etiology; D000310:Adrenal Gland Neoplasms / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage; D003520:Cyclophosphamide / Q000008:administration & dosage; D004317:Doxorubicin / Q000008:administration & dosage; D006390:Hemangioendothelioma / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D006801:Humans; D016393:Lymphoma, B-Cell / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D011239:Prednisolone / Q000008:administration & dosage; D019043:Vascular Neoplasms / Q000150:complications / Q000188:drug therapy / Q000473:pathology*; D014750:Vincristine / Q000008:administration & dosage
D014750:Vincristine; D004317:Doxorubicin; D003520:Cyclophosphamide; D011239:Prednisolone