title: Coexistent B-cell lymphoma and cutaneous T-cell lymphoma.
abstract: A 78-year-old man with a history of mycosis fungoides was referred for evaluation of a right adrenal mass. A physical examination showed the left cervical lymph node to be palpable, which was later shown to be caused by a diffuse large B-cell lymphoma. The patient was diagnosed with concurrent mycosis fungoides and a diffuse large B-cell lymphoma. Three courses of chemotherapy were performed, however, the patient died of advanced disease. Autopsy findings showed that the right adrenal and soft tissue masses had an identical B-cell origin. Although the exact mechanism remains unclear, the pathogenesis of this rare association is discussed.
authors.affiliation: Division of Endocrinology and Metabolism, Department of Internal Medicine, Hyogo College of Medicine, Nishinomiya.
authors.forename: Taku
authors.initials: T
authors.lastname: Inokuchi
authors.forename: Mayumi
authors.initials: M
authors.lastname: Shincho
authors.forename: Yuji
authors.initials: Y
authors.lastname: Moriwaki
authors.forename: Tsuneyoshi
authors.initials: T
authors.lastname: Ka
authors.forename: Sumio
authors.initials: S
authors.lastname: Takahashi
authors.forename: Zenta
authors.initials: Z
authors.lastname: Tsutsumi
authors.forename: Yoshiaki
authors.initials: Y
authors.lastname: Lin
authors.forename: Seiichi
authors.initials: S
authors.lastname: Hirota
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Yamamoto
mesh_terms: D000368:Aged; D000903:Antibiotics, Antineoplastic / Q000008:administration & dosage; D018906:Antineoplastic Agents, Alkylating / Q000008:administration & dosage; D000972:Antineoplastic Agents, Phytogenic / Q000008:administration & dosage; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D003520:Cyclophosphamide / Q000008:administration & dosage; D004317:Doxorubicin / Q000008:administration & dosage; D017809:Fatal Outcome; D006801:Humans; D016393:Lymphoma, B-Cell / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D009182:Mycosis Fungoides / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology; D009378:Neoplasms, Multiple Primary / Q000175:diagnosis / Q000188:drug therapy; D011877:Radionuclide Imaging; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000188:drug therapy; D014057:Tomography, X-Ray Computed; D014750:Vincristine / Q000008:administration & dosage
chemical_list: D000903:Antibiotics, Antineoplastic; D018906:Antineoplastic Agents, Alkylating; D000972:Antineoplastic Agents, Phytogenic; D014750:Vincristine; D004317:Doxorubicin; D003520:Cyclophosphamide