Abstract

ALAMA ZARAGOZA, Mª. A. et al. Bilateral primary adrenal lymphoma: an unusual presentation . An. Med. Interna (Madrid) [online]. 2002, vol.19, n.10, pp.34-36. ISSN 0212-7199.

A case of primary adrenal bilateral non-Hodgking lymphoma, with depressed adrenal reserve is pressented.  This rare neoplasm causes rapid evolution and fatal outcome in most cases.  In our patient, letal outcome was associated with severe hypercalcemia and refractary hypotension. Many other complications are due to tumoral lysis syndrome associated with high steroid doses in adrenal insufficiency.  This rare entity must be included in the differencial diagnosis of adrenal masses, uni or bilateral, because early diagnostic is important for preventing complications, potentialy lethals and for improving survival. Image thecnics and ultrasound-guided or computed-tomography-guided FNA, are best diagnostic methods, but in many cases, deffinitive diagnostic is obtained by necropsy 

Keywords : Non-Hodgkin lymphoma; Adrenal glands; Adrenal masses.

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