Bilateral primary adrenal lymphoma with adrenal insufficiency.

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Bilateral primary adrenal lymphoma with adrenal insufficiency.

BMJ Case Rep. 2016 Oct 26;2016:

Authors: Ekhzaimy A, Mujamammi A

Abstract
Primary adrenal lymphoma is an extremely rare condition. We describe a case of bilateral adrenal lymphoma in a man aged 55 years who was admitted to our hospital. He had a 3-month history of left flank pain, nausea and vomiting with weight loss. A CT scan at a private hospital revealed bilateral large adrenal masses; the patient was referred to our centre based on these findings. He was evaluated for pheochromocytoma by an endocrinology team; however, all findings were negative. In addition, a cosyntropin stimulation test indicated adrenal insufficiency. A Trucut biopsy of the adrenal gland revealed diffuse large B-cell lymphoma of the adrenal glands, and the patient responded extremely well to chemotherapy.

PMID: 27797844 [PubMed - indexed for MEDLINE]

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