Primary adrenal lymphoma with choroidal metastases.
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.
Schocket
Lisa S
LS
Department of Ophthalmology, Scheie Eye Institute, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA. lschocket@yahoo.com
Syed
Nasreen A
NA
Fine
Stuart L
SL
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