[Primary bilateral adrenal T-cell lymphoma. A case report rarer than B-cell lymphoma].
Primary adrenal lymphoma is a rare condition. Only 70 cases were described in the literature. Adrenal lymphoma is often bilateral and in most of the cases of B-cell type. T-cell lymphoma is exceptional. The prognosis is bad and patient can die early because of acute adrenal insufficiency. We report a case of a 70-year-old man who was admitted for acute adrenal insufficiency due to primary bilateral adrenal T-cell lymphoma. He had corticotherapy and surgical exploration for intra-abdominal sepsis. He died because of multivisceral deficiency. Clinical features and imaging are not specific. (18)F-FDG PET Scan is an excellent mean to detect malignant tumor of adrenal gland. Percutaneous needle biopsy is useful to determine histology. The standard treatment is chemotherapy.
Sfaxi
M
M
Service d'urologie, hôpital Charles-Nicolle, boulevard 9-Avril, 1006 Tunis, Tunisie.
Bouzouita
A
A
Bouasker
I
I
Kourda
N
N
Ben Slama
M R
MR
Ben Jilani Baltaji
S
S
Chebil
M
M
D000310:Adrenal Gland Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D000368:Aged; D017809:Fatal Outcome; D019788:Fluorodeoxyglucose F18; D006801:Humans; D007150:Immunohistochemistry; D015994:Incidence; D016393:Lymphoma, B-Cell / Q000453:epidemiology; D016399:Lymphoma, T-Cell / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000473:pathology; D008297:Male; D009102:Multiple Organ Failure; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals
D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18