A Rare Case of Primary Bilateral Adrenal Lymphoma
Lymphoma may involve the adrenal glands, but primary lymphoma is rare. Only a few cases have been reported in medical literature. Primary adrenal lymphoma is extremely rare, accounting for <1% of non-Hodgkin lymphomas. We here present a case of a middle-aged female who presented with persistent f...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/1251950 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832563918283735040 |
|---|---|
| author | Veeraraghavan Meyyur Aravamudan Phang Kee Fong Yang Shiyao Sam Pavel Singh Siok-Bian Ng Gollamudi Satya Pavan Kumar |
| author_facet | Veeraraghavan Meyyur Aravamudan Phang Kee Fong Yang Shiyao Sam Pavel Singh Siok-Bian Ng Gollamudi Satya Pavan Kumar |
| author_sort | Veeraraghavan Meyyur Aravamudan |
| collection | DOAJ |
| description | Lymphoma may involve the adrenal glands, but primary lymphoma is rare. Only a few cases have been reported in medical literature. Primary adrenal lymphoma is extremely rare, accounting for <1% of non-Hodgkin lymphomas. We here present a case of a middle-aged female who presented with persistent fever for three weeks. She also reported significant weight loss of more than 10 kgs over the duration of three months. Computed tomography of the thorax and abdomen and pelvis demonstrated bilateral adrenal masses. She underwent short Synacthen test which showed evidence of adrenal insufficiency. She underwent CT-guided adrenal gland biopsy. Histology of adrenal gland biopsy showed features consistent with diffuse large B-cell lymphoma. She was started on R-CHOP chemotherapy and had a good clinical response and remained in complete remission for five months after chemotherapy. |
| format | Article |
| id | doaj-art-6e563362d39b41a7ab32e497dbaa82b0 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-6e563362d39b41a7ab32e497dbaa82b02025-02-03T01:12:18ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/12519501251950A Rare Case of Primary Bilateral Adrenal LymphomaVeeraraghavan Meyyur Aravamudan0Phang Kee Fong1Yang Shiyao Sam2Pavel Singh3Siok-Bian Ng4Gollamudi Satya Pavan Kumar5Department of Advanced Internal Medicine, National University Hospital, 5 Lower Kent Ridge Road, 119074, SingaporeDepartment of Advanced Internal Medicine, National University Hospital, 5 Lower Kent Ridge Road, 119074, SingaporeDepartment of Advanced Internal Medicine, National University Hospital, 5 Lower Kent Ridge Road, 119074, SingaporeDepartment of Radiology, National University Hospital, 5 Lower Kent Ridge Road, 119074, SingaporeDepartment of Pathology, National University of Singapore, National University Hospital, 5 Lower Kent Ridge Road, 119074, SingaporeDepartment of Advanced Internal Medicine, National University Hospital, 5 Lower Kent Ridge Road, 119074, SingaporeLymphoma may involve the adrenal glands, but primary lymphoma is rare. Only a few cases have been reported in medical literature. Primary adrenal lymphoma is extremely rare, accounting for <1% of non-Hodgkin lymphomas. We here present a case of a middle-aged female who presented with persistent fever for three weeks. She also reported significant weight loss of more than 10 kgs over the duration of three months. Computed tomography of the thorax and abdomen and pelvis demonstrated bilateral adrenal masses. She underwent short Synacthen test which showed evidence of adrenal insufficiency. She underwent CT-guided adrenal gland biopsy. Histology of adrenal gland biopsy showed features consistent with diffuse large B-cell lymphoma. She was started on R-CHOP chemotherapy and had a good clinical response and remained in complete remission for five months after chemotherapy.http://dx.doi.org/10.1155/2017/1251950 |
| spellingShingle | Veeraraghavan Meyyur Aravamudan Phang Kee Fong Yang Shiyao Sam Pavel Singh Siok-Bian Ng Gollamudi Satya Pavan Kumar A Rare Case of Primary Bilateral Adrenal Lymphoma Case Reports in Medicine |
| title | A Rare Case of Primary Bilateral Adrenal Lymphoma |
| title_full | A Rare Case of Primary Bilateral Adrenal Lymphoma |
| title_fullStr | A Rare Case of Primary Bilateral Adrenal Lymphoma |
| title_full_unstemmed | A Rare Case of Primary Bilateral Adrenal Lymphoma |
| title_short | A Rare Case of Primary Bilateral Adrenal Lymphoma |
| title_sort | rare case of primary bilateral adrenal lymphoma |
| url | http://dx.doi.org/10.1155/2017/1251950 |
| work_keys_str_mv | AT veeraraghavanmeyyuraravamudan ararecaseofprimarybilateraladrenallymphoma AT phangkeefong ararecaseofprimarybilateraladrenallymphoma AT yangshiyaosam ararecaseofprimarybilateraladrenallymphoma AT pavelsingh ararecaseofprimarybilateraladrenallymphoma AT siokbianng ararecaseofprimarybilateraladrenallymphoma AT gollamudisatyapavankumar ararecaseofprimarybilateraladrenallymphoma AT veeraraghavanmeyyuraravamudan rarecaseofprimarybilateraladrenallymphoma AT phangkeefong rarecaseofprimarybilateraladrenallymphoma AT yangshiyaosam rarecaseofprimarybilateraladrenallymphoma AT pavelsingh rarecaseofprimarybilateraladrenallymphoma AT siokbianng rarecaseofprimarybilateraladrenallymphoma AT gollamudisatyapavankumar rarecaseofprimarybilateraladrenallymphoma |