title: Primary adrenal lymphoma with choroidal metastases.
abstract: OBJECTIVE
  To describe a 71-year-old man with bilateral primary adrenal lymphoma with metastases to the choroid.
  
  
  METHODS
  Interventional case report.
  
  
  METHODS
  A 71-year-old man presented with decreased visual acuity in his left eye secondary to an exudative retinal detachment. Abdominal computed tomography and percutaneous biopsy revealed non-Hodgkin large-cell lymphoma involving both adrenal glands.
  
  
  RESULTS
  Ocular and adrenal lesions resolved after six cycles of chemotherapy with cytoxan, adriamycin, vincristine, and prednisone. Seven years after his initial diagnosis, the patient reported no recurrence of either ocular or systemic lymphoma.
  
  
  CONCLUSIONS
  To our knowledge, this is the first case report of bilateral primary adrenal lymphoma with apparent metastases exclusively to the eye.
authors.affiliation: Department of Ophthalmology, Scheie Eye Institute, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA. lschocket@yahoo.com
authors.forename: Lisa S
authors.initials: LS
authors.lastname: Schocket
authors.forename: Nasreen A
authors.initials: NA
authors.lastname: Syed
authors.forename: Stuart L
authors.initials: SL
authors.lastname: Fine
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002830:Choroid Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000556:secondary*; D006801:Humans; D008207:Lymphatic Metastasis; D016403:Lymphoma, Large B-Cell, Diffuse / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology*; D008297:Male; D012163:Retinal Detachment / Q000209:etiology; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000209:etiology; D014792:Visual Acuity