1. A rare cause of bilateral adrenal mass: a case report of primary adrenal lymphoma.
- Author
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Jamaluddin, Jazlan, Mohamad Ali, Norliana Dalila, Abdullah, Salmi, and Abdul-Razak, Suraya
- Subjects
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RITUXIMAB , *PREDNISOLONE , *DOXORUBICIN , *B cell lymphoma , *METHOTREXATE , *CYCLOPHOSPHAMIDE , *ADRENAL tumors , *COMPUTED tomography , *VINCRISTINE - 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]
- Published
- 2021