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CASE REPORT
Non-Hodgkin's lymphoma involving a femur bone and bilateral adrenal glands alone with adrenal insufficiency
  1. Yoshihito Iwahara1,
  2. Tsutomu Shinohara2,
  3. Keishi Naruse3,
  4. Yukihisa Komatsu4
  1. 1Division of Hematology, National Hospital Organization Kochi Hospital, Kochi, Japan
  2. 2Division of Clinical Investigation, National Hospital Organization Kochi Hospital, Kochi, Japan
  3. 3Division of Pathology, National Hospital Organization Kochi Hospital, Kochi, Japan
  4. 4Division of Radiology, National Hospital Organization Kochi Hospital, Kochi, Japan
  1. Correspondence to Dr Tsutomu Shinohara, shinoharat{at}kochi2.hosp.go.jp

Summary

Primary bone lymphoma and primary adrenal lymphoma are rare clinicopathological entities of non-Hodgkin's lymphoma (NHL). We present the first case of diffuse large B-cell lymphoma with the involvement of a single bone and both adrenal glands alone with adrenal insufficiency. As primary extranodal NHL may have other unusual extranodal lesions, which may present unexplained clinical findings, patients with primary extranodal NHL require careful systemic examination, even when lymphadenopathy is absent.

https://doi.org/10.1136/bcr-2016-218222

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    Footnotes

    • Contributors YI drafted the initial manuscript. TS edited and submitted the manuscript. YI and TS were involved in diagnosing and treating the patient. KN performed the pathological studies. YK contributed to radiological assessment.

    • Competing interests None declared.

    • Patient consent Obtained.

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