title: Primary adrenal natural killer/T-cell nasal type lymphoma: first case report in adults.
abstract: We report the first case of a primary adrenal natural killer (NK)/T-cell nasal type lymphoma in adults. The patient presented with an enlarging left adrenal mass and the initial concern was for adrenocortical carcinoma. Surgical resection revealed NK/T-cell lymphoma. Rapid recurrence in the contralateral adrenal gland was treated with a single cycle of chemotherapy before he died due to infectious complications and progressive disease. This case demonstrates the aggressive presentation of a novel subset of primary adrenal lymphoma that should be considered in the differential diagnosis of a rapidly enlarging adrenal mass.
authors.affiliation: Division of Medical Oncology, The University of Texas, M.D. Anderson Cancer Center, Houston, Texas 77030, USA. micthompson@mdanderson.org
authors.forename: Michael A
authors.initials: MA
authors.lastname: Thompson
authors.forename: Mouhammed A
authors.initials: MA
authors.lastname: Habra
authors.forename: Mark J
authors.initials: MJ
authors.lastname: Routbort
authors.forename: F Christopher
authors.initials: FC
authors.lastname: Holsinger
authors.forename: Nancy D
authors.initials: ND
authors.lastname: Perrier
authors.forename: Steven G
authors.initials: SG
authors.lastname: Waguespack
authors.forename: Maria A
authors.initials: MA
authors.lastname: Rodriguez
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000473:pathology*; D000328:Adult; D018450:Disease Progression; D017809:Fatal Outcome; D006801:Humans; D007150:Immunohistochemistry; D007694:Killer Cells, Natural / Q000473:pathology*; D016131:Lymphocyte Subsets / Q000473:pathology*; D016399:Lymphoma, T-Cell / Q000175:diagnosis / Q000473:pathology*; D008297:Male; D012367:RNA, Viral
chemical_list: C099537:Epstein-Barr virus encoded RNA 1; D012367:RNA, Viral