학술논문
A rare cause of bilateral adrenal mass: a case report of primary adrenal lymphoma.
Document Type
Article
Source
Subject
*RITUXIMAB
*PREDNISOLONE
*DOXORUBICIN
*B cell lymphoma
*METHOTREXATE
*CYCLOPHOSPHAMIDE
*ADRENAL tumors
*COMPUTED tomography
*VINCRISTINE
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Language
ISSN
0833-2207
Abstract
Primary adrenal lymphoma (PAL) is extremely rare, representing less than 1% of Non-Hodgkin's Lymphoma (NHL). We present a case of an elderly man who was evaluated for persistent abdominal pain and adrenal insufficiency. The computed tomogram (CT) of the abdomen showed a large bilateral adrenal mass. There were also multiple small lung nodules. The histopathology of adrenal gland showed features consistent with diffuse large B-cell NHL. He received two cycles of rituximab, cyclophosphamide, doxorubicine, vincristine and prednisolone (R-mini-CHOP) followed by five cycles of rituximab, methotrexate, procarbazine, and vincristine (R-MPV) after evidence of brain metastasis on imaging. He responded well to the current treatment at six months follow up. [ABSTRACT FROM AUTHOR]