Adrenal insufficiency as presenting feature of non-Hodgkin lymphoma.
Lymphomatous involvement of an adrenal gland during the course of a lymphoma is common, but a primary presentation of adrenal insufficiency in a patient with lymphoma involving both adrenal glands is rare. We describe a 36-year-old man with non-Hodgkin lymphoma (NHL) who presented with adrenal insufficiency. His evaluation consisted of several imaging modalities, including positron emission tomography-computed tomography (PET-CT) scans, which were helpful in defining the extent of disease prior to treatment and in monitoring the patient's response to treatment. Our case illustrates the importance of preoperative evaluation to exclude a lymphoma, particularly in patients with bilateral renal and/or adrenal masses.
Department of Urology, University of Pittsburgh School of Medicine, Pennsylvania 15213-3232, USA.
Bruce L
BL
Jacobs
Todd M
TM
Blodgett
Sara E
SE
Monaco
Ronald L
RL
Hrebinko
Samuel A
SA
Jacobs
D000310:Adrenal Gland Neoplasms / Q000175:diagnosis* / Q000556:secondary / Q000628:therapy; D000309:Adrenal Insufficiency / Q000175:diagnosis / Q000209:etiology*; D000328:Adult; D006801:Humans; D008228:Lymphoma, Non-Hodgkin / Q000175:diagnosis* / Q000628:therapy; D008297:Male