scholarly journals Massive bilateral adrenal mass with adrenal insufficiency: a case report of primary adrenal lymphoma

2022 ◽  
Vol 8 (1) ◽  
pp. 126-130
Author(s):  
Seher ÇETİNKAYA ALTUNTAŞ ◽  
Uğur AVCI
Keyword(s):  
Case Report ◽  
Adrenal Insufficiency ◽  
Adrenal Mass ◽  
Primary Adrenal Lymphoma ◽  
Adrenal Lymphoma

A Rare Cause of Adrenal Mass: Primary Adrenal Lymphoma: Case Report

2015 ◽  
Vol 10 (1) ◽  
pp. 36-39
Author(s):  
Hakan KORKMAZ ◽  
Ersin AKARSU ◽  
Mesut ÖZKAYA ◽  
Mehmet TÜRKER ◽  
Samet ALKAN ◽  
...  
Keyword(s):  
Case Report ◽  
Adrenal Mass ◽  
Primary Adrenal Lymphoma ◽  
Adrenal Lymphoma

scholarly journals Bilateral Adrenal Incidentalomas, Uncommon Presentation and Very Rare Pathology

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A119-A119
Author(s):  
Mohammad Khair Ahmad Ibraheem Hamad ◽  
Ahmed Osman Saleh ◽  
Emad Naem
Keyword(s):  
Ct Scan ◽  
Adrenal Insufficiency ◽  
Adrenal Mass ◽  
Adrenal Glands ◽  
Adrenal Incidentaloma ◽  
B Cell Lymphoma ◽  
Primary Adrenal Lymphoma ◽  
Adrenal Lymphoma ◽  
History Of ◽  
Adrenal Masses

Abstract Background: Adrenal incidentaloma is an adrenal mass larger than 1cm accidentally discovered by radiological examination. The incidentalomas should be evaluated for malignancy and functionality. The prevalence of adrenal incidentaloma is 4–10%,1 and around 10–15% of incidentally discovered adrenal masses can be bilateral.2 We present a patient with bilateral adrenal masses due to primary adrenal lymphoma. Clinical Case: 74-year-old gentleman, with past medical history of type-2 Diabetes mellitus, hypertension, presented to our hospital with 2 months history of right-sided flank pain, 20 kg weight loss, loss of appetite and dizziness. Otherwise, no fever, night sweats, bleeding per rectum or urinary symptoms. On physical examination, vital signs were within normal, no remarkable findings other than tenderness over the right flank. Complete blood count and chemistry panel were within normal. Abdominal CT scan was done for evaluation of the abdominal pain which showed two large masses replacing the adrenal glands measure about 10cm in diameter with patchy areas of enhancement. Adrenal insufficiency was suspected based on the symptoms and the CT scan findings. Short syncatin test (high-dose test 250mcg) was done, which showed a cortisol baseline 152nmol/L, 30 minutes 168nmol/L, and 60 minutes 169nmol/L. This was suggestive of adrenal insufficiency, so he was started on hydrocortisone. Screening for pheochromocytoma was done as the patient developed uncontrolled BP readings prior to a scheduled adrenal biopsy. 24-hour urine metanephrines and normetanephrine were negative. CT-guided adrenal mass biopsy showed findings suggestive of large B-cell lymphoma. FDG PET-CT scan showed huge bilateral intense FDG uptake in the adrenal glands with no extra-abdominal manifestations noted. He was started on R-CHOP chemotherapy and after 4cycles, a PET scan showed a significant decrease in the size of previous adrenal masses. Conclusion: Bilateral adrenal incidentaloma should be evaluated the same as unilateral adrenal mass. Although adrenal involvement is common in non-Hodgkin lymphoma, primary adrenal lymphoma is extremely uncommon. References 1.Bovio S, Cataldi A, Reimondo G, Sperone P, Novello S, Berruti A, Borasio P, Fava C, Dogliotti L, Scagliotti GV, Angeli A, Terzolo M. Prevalence of adrenal incidentaloma in a contemporary computerized tomography series. J Endocrinol Invest. 2006 Apr;29(4):298–302. doi: 10.1007/BF03344099. PMID: 16699294. 2.Angeli A, Osella G, Alì A, Terzolo M. Adrenal incidentaloma: an overview of clinical and epidemiological data from the National Italian Study Group. Horm Res. 1997;47(4–6):279–83. doi: 10.1159/000185477. PMID: 9167965.

Primary Adrenal Lymphoma Associated with Adrenal Insufficiency: A Distinct Clinical Entity

1997 ◽  
Vol 24 (3-4) ◽  
pp. 363-367 ◽  
Author(s):  
Mark Pimentel ◽  
James B. Johnston ◽  
Donald R. Allan ◽  
Howard Greenberg ◽  
Charles N. Bernstein
Keyword(s):  
Adrenal Insufficiency ◽  
Clinical Entity ◽  
Primary Adrenal Lymphoma ◽  
Distinct Clinical Entity ◽  
Adrenal Lymphoma

scholarly journals BILATERAL ADRENAL LYMPHOMA WITH ADRENAL INSUFFICIENCY: A CASE REPORT

2005 ◽  
Vol 96 (6) ◽  
pp. 647-649
Author(s):  
Takashi Arai ◽  
Naoki Kawamura ◽  
Tomotaka Hattori
Keyword(s):  
Case Report ◽  
Adrenal Insufficiency ◽  
Adrenal Lymphoma

scholarly journals Bilateral adrenal lymphoma with adrenal insufficiency: a case report with litretures review

2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Khalid S AlJabri ◽  
Muneera A Al Shareef ◽  
Saeed J Alzahrani ◽  
Samia A Bokhari ◽  
Mohamed Abaza
Keyword(s):  
Case Report ◽  
Adrenal Insufficiency ◽  
Adrenal Lymphoma

scholarly journals Primary adrenal lymphoma: case report

2015 ◽  
Author(s):  
Rosa Marquez-Pardo ◽  
Maria-Gloria Baena-Nieto ◽  
Manuel Cayon-Blanco ◽  
Lourdes Garcia-Garcia-Doncel ◽  
Rosario Lopez-Velasco ◽  
...  
Keyword(s):  
Case Report ◽  
Primary Adrenal Lymphoma ◽  
Adrenal Lymphoma

scholarly journals Primary Adrenal lymphoma presented with adrenal insufficiency

HORMONES ◽  
2004 ◽  
Vol 3 (1) ◽  
pp. 68-73 ◽  
Author(s):  
Evanthia Diamanti-Kandarakis ◽  
Pantelis Chatzismalis ◽  
Frangiskos Economou ◽  
Stefanos Lazarides ◽  
Athena Androulaki ◽  
...  
Keyword(s):  
Adrenal Insufficiency ◽  
Primary Adrenal Lymphoma ◽  
Adrenal Lymphoma
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