Primary adrenal lymphoma manifestating as adrenal incidentaloma.
Although involvement of the adrenals by malignant lymphoma is common, primary adrenal lymphoma is extremely rare. Herein, we report a case of a 59-year-old woman with bilateral adrenal glands enlargement found incidentally on abdominal imaging. Despite of the huge size of the tumor, her adrenal function was intact. Ultrasound-guided biopsy disclosed a picture of malignant lymphoma, diffuse large B cell type. The patient received bilateral adrenalectomy and adjuvant chemotherapy, but succumbed 6 months later. We suggest that, although rare, primary adrenal lymphoma should be considered as a possible cause of bilateral adrenal incidentalomas.
Wang
Fan-Fen
FF
Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan, ROC.
Su
Ching-Chieh
CC
Chang
Yen-Hwa
YH
Pan
Chin-Chen
CC
Tang
Kam-Tsun
KT
Jap
Tjin-Shing
TS
Lin
Hong-Da
HD
Won
Justin Ging-Shing
JG
D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D005260:Female; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D008875:Middle Aged