title: Laparoscopic adrenalectomy for unsuspected unilateral primary adrenal lymphoma.
abstract: BACKGROUND
  Rarely, a patient presents to a surgeon for evaluation of an adrenal incidentaloma where the final pathology is primary malignancy. For primary adrenal lymphoma, fewer than 100 cases have been reported in the literature.
  
  
  METHODS
  We report a case of  unilateral primary adrenal aggressive B cell lymphoma discovered incidentally in a 41-year-old female. Preoperative testing demonstrated the 6-cm mass to be biochemically silent. Subsequently, the patient underwent a laparoscopic adrenalectomy. Following pathologic diagnosis of B cell lymphoma,  a metastatic workup was negative, and she underwent treatment with systemic chemotherapy. She is currently disease free 6 months postoperatively.
  
  
  CONCLUSIONS
  Primary adrenal lymphoma should be considered in patients with unilateral adrenal incidentaloma. We believe that adherence  to guidelines of resection of incidentalomas allowed for early surgical intervention and possible cure.
authors: Division of General Surgery, University of Maryland Medical Center, Baltimore, Maryland 21201, USA.
authors: Alexis
authors: A
authors: Smith
authors: Daniel
authors: D
authors: Eyvazzadeh
authors: Stephen M
authors: SM
authors: Kavic
mesh_terms: D000310:Adrenal Gland Neoplasms / Q000175:diagnosis / Q000378:metabolism / Q000601:surgery*; D000315:Adrenalectomy / Q000379:methods*; D000328:Adult; D005260:Female; D006801:Humans; D007150:Immunohistochemistry; D033162:Incidental Findings; D010535:Laparoscopy / Q000379:methods*; D016393:Lymphoma, B-Cell / Q000175:diagnosis / Q000378:metabolism / Q000601:surgery*; D008279:Magnetic Resonance Imaging