Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Lymphome surrénalien primaire bilatéral [Primary bilateral adrenal lymphoma]
Schweizerische medizinische Wochenschrift
Publication types: Case Reports ; English Abstract ; Journal Article - Publication Status: ppublish
When abdominal imaging reveals the existence of unsuspected adrenal masses, a diagnostic strategy is necessary. We report the case of a woman presenting with pulmonary embolism, in whom abdominal ultrasound revealed voluminous masses in both adrenals without clinical or biological signs of hormone hypersecretion, but with mild primary adrenal failure. From a CT scan-directed needle biopsy of the right adrenal mass and subsequent staging we were able to diagnose a primary bilateral adrenal lymphoma, diffuse large B-cell type (REAL/WHO). On CHOP chemotherapy both adrenal masses decreased dramatically and the patient is in remission 18 months later. Primary adrenal lymphoma is a rare condition, since 65 cases have been reported to date. Histological diagnosis is nevertheless important, in view of the excellent response to specific therapy observed in some cases.
Adrenal Gland Neoplasms, Antineoplastic Combined Chemotherapy Protocols, Biopsy, Cyclophosphamide, Doxorubicin, Female, Humans, Lymphoma, B-Cell, Middle Aged, Prednisone, Pulmonary Embolism, Tomography, X-Ray Computed, Vincristine
Web of science
Last modification date