Abstract
Primary bilateral non-Hodgkin's lymphoma (NHL) of the adrenal gland is a very rare entity. Indeed less than 60 cases have been reported in the literature. Hence, we report a case of high-grade lymphoma of both adrenal glands that was found in a young patient of 32 years of age. The patient was admitted in the emergency department of our hospital with a profile of hemorrhagic shock. After stabilization, the imaging investigations demonstrated large bilateral adrenal masses. The CT-scan guided biopsy of both adrenal glands allowed the diagnosis of primary bilateral adrenal NHL. The patient died after the first chemotherapy session. The presence of bilateral adrenal masses associated with a rapid increase of volume should raise the diagnosis of primary adrenal non-Hodgkin's lymphoma.
Highlights
The adrenal mass has a significant etiological diagnosis problem
The CT-scan guided biopsy of both adrenal glands allowed the diagnosis of primary bilateral adrenal non-Hodgkin’s lymphoma (NHL)
The presence of bilateral adrenal masses associated with a rapid increase of volume should raise the diagnosis of primary adrenal non-Hodgkin’s lymphoma
Summary
The adrenal mass has a significant etiological diagnosis problem. Primary lymphoma of the adrenal gland is a rare origin of adrenal tumors; it has to be evoked whenever bilateral adrenal affections are revealed. We report a case of a primary bilateral adrenal lymphoma. We discuss the clinical feature and paraclinical and therapeutic issues with literature review [1,2,3,4]
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