title: Silent intravascular lymphoma initially manifesting as a unilateral adrenal incidentaloma.
abstract: Intravascular large B-cell lymphoma (IVLBCL) is a rare subtype of malignant lymphoma. Although the involvement of adrenal glands in IVLBCL is often observed, primary adrenal IVLBCL is rare. Most reported cases of adrenal IVLBCL showed bilateral lesions resulting in rapidly progressive adrenal failure and poor prognosis. Here, we report a case of slowly progressive primary adrenal IVLBCL manifesting initially with unilateral adrenal incidentaloma. This case is a silent IVLBCL and shows that the enlargement of both adrenal glands can be followed.
authors.affiliation: Division of General Medicine, Hyogo Prefectural Kakogawa Medical Center, 203 Kanno, Kanno-cho, Hyogo, Kakogawa 675-8555, Japan.
authors.forename: Yoshiko
authors.initials: Y
authors.lastname: Takahashi
authors.forename: Keiji
authors.initials: K
authors.lastname: Iida
authors.forename: Yasuhisa
authors.initials: Y
authors.lastname: Hino
authors.forename: Takeshi
authors.initials: T
authors.lastname: Ohara
authors.forename: Toshifumi
authors.initials: T
authors.lastname: Kurahashi
authors.forename: Takashi
authors.initials: T
authors.lastname: Tashiro
authors.forename: Kazuo
authors.initials: K
authors.lastname: Chihara