title: Primary Non Hodgkin's Lymphoma of Left Adrenal Gland - A Rare Presentation.
abstract: Primary adrenal lymphoma is rare and constitutes for 3% of extranodal lymphoma cases. Approximately 70% of patients present with bilateral disease and have adrenal insufficiency. Prognosis of primary adrenal lymphoma (PAL) is poor, most of patient die within one year of diagnosis. Moreover, there are no standard treatment protocols on such cases. Patients are generally treated with regimens similar to other nonhodgkin lymphoma which includes surgery, combination chemotherapy and or radiotherapy. We are presenting a successfully treated case of primary diffuse large B cell non Hodgkin lymphoma of adrenal gland in a 57-year-old patient. The patient had unilateral adrenal involvement (left adrenal gland), without adrenal insufficiency and normal Serum lactate dehyrogenase level. The patient was treated with left adrenalectomy followed by combination chemotherapy. Two years after diagnosis and treatment the patient is disease free on clinical and imaging studies.
authors.affiliation: Senior Resident, Department of Radiotherapy, Regional Cancer Centre , Pt. BD Sharma. PGIMS, Rohtak, India .
authors.forename: Anil
authors.initials: A
authors.lastname: Khurana
authors.affiliation: Associate Professor, Department of Radiotherapy, Regional Cancer Centre , Pt. BD Sharma. PGIMS, Rohtak, India .
authors.forename: Paramjeet
authors.initials: P
authors.lastname: Kaur
authors.affiliation: Senior Professor, Department of Radiotherapy, Regional Cancer Centre , Pt. BD Sharma. PGIMS, Rohtak, India .
authors.forename: Ashok K
authors.initials: AK
authors.lastname: Chauhan
authors.affiliation: Professor, Department of Pathology, Pt. BD Sharma. PGIMS , Rohtak, India .
authors.forename: Sant Parkash
authors.initials: SP
authors.lastname: Kataria
authors.affiliation: Senior Resident, Department of Radiotherapy, Regional Cancer Centre , Pt. BD Sharma. PGIMS, Rohtak, India .
authors.forename: Nupur
authors.initials: N
authors.lastname: Bansal
keywords: Adrenal tumour; Chemotherapy; Extranodal lymphoma