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. 2014 Jun;31(2):188-91.
doi: 10.4274/tjh.2012.0125. Epub 2014 Jun 10.

Primary adrenal lymphoma

Karima Kacem  1 , Sami Zriba  2 , Raihane Ben Lakhal  1 , Walid Bouteraa  1 , Lamia Aissaoui  1 , Ramzi Ben Amor  1 , Yosr Ben Abdennebi  1 , Zaher Belhadj Ali  1 , Hela Ben Abid  1 , Balkis Meddeb  1
Affiliations

Primary adrenal lymphoma

Karima Kacem et al. Turk J Haematol. 2014 Jun.

Abstract
in English, Turkish

Primary non-Hodgkin's lymphoma of the adrenal gland is rare. We report the case of a 56-year-old patient suffering from B symptoms. The CT scan showed a bilateral adrenal mass without any lymph nodes. Scan-guided biopsies led to the diagnosis of diffuse large B-cell lymphoma. The medullar biopsy eliminated a secondary lymphoma. The patient was treated by immunochemotherapy with a complete response before autologous stem cell transplantation.

Adrenal bezin Hodgkin dışı lenfoması nadirdir. Burada B semptomları ile başvuran 56 yaşında bir olgu bildirilmektedir. Bilgisayarlı tomografide bilateral adrenal kütle saptandı. Eşlik eden patolojik büyüklükte lenfadenopati görülmedi. Görüntüleme eşliğinde yapılan biyopsiler ile diffüz büyük B hücreli lenfoma tanısı kondu. Kemik iliği biyopsisi sekonder lenfoma tanısını dışladı. Hastada immunokemoterapi uygulaması ile otolog kök hücre nakli öncesinde tam yanıt sağlandı.

Keywords: Addisonian crisi; Adrenal glands; Lymphoma.

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Figures

Figure 1
Figure 1. Postcontrast CT scan showed bilateral adrenal tumors (⇒).
Figure 2
Figure 2. DLBCL: malignant lymphoid cells, hematoxylin & eosin stain.
Figure 3
Figure 3. DLBCL: malignant lymphoid cells, CD20 immunostain.
Figure 4
Figure 4. CT scan after 4 cycles of chemotherapy showed partial response.
Figure 5
Figure 5. CT scan at the end of treatment showed a complete response.
See this image and copyright information in PMC

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