You are here

Article Text

Article menu
Download PDFPDF
CASE REPORT
Bilateral primary adrenal lymphoma with adrenal insufficiency
  1. Aishah Ekhzaimy1,
  2. Ahmad Mujamammi2
  1. 1Division of Endocrinology, King Saud University, College of Medicine and King Khalid University Hospital, Riyadh, Saudi Arabia
  2. 2Clinical Biochemistry, Department of Pathology, King Saud University, College of Medicine, Riyadh, Saudi Arabia
  1. Correspondence to Dr Aishah Ekhzaimy, aishahekhzaimy{at}hotmail.com

Summary

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.

https://doi.org/10.1136/bcr-2016-217417

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors AE recruited the patient, did the investigations and collected the data. She prepared the final manuscript. AM performed the literature review.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.