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A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Primary adrenal lymphoma: 3 case reports with different outcomes.
A Spyroglou1, H J Schneider, T Mussack
1Department of Medicine, Endocrine Research, University Hospital Innenstadt, Ludwig Maximilians University, Munich, Germany.
Summary
Primary adrenal lymphoma (PAL) is a rare cancer. Diagnosis involves imaging and biopsy, with treatment best managed in specialized centers.
Area of Science:
- Oncology
- Endocrinology
Background:
- Primary adrenal lymphoma (PAL) is an exceptionally rare malignancy, with limited reported cases globally.
- Large B-cell non-Hodgkin lymphoma can manifest in the adrenal glands, presenting diagnostic challenges.
Observation:
- This report details three cases of PAL in middle-aged adults, including two males and one female.
- Patients presented with B-symptoms or adrenal insufficiency, particularly with bilateral adrenal masses.
Findings:
- Diagnostic strategies included hormonal profiling and advanced imaging.
- Biopsy is crucial for PAL diagnosis, especially after excluding pheochromocytoma.
Implications:
- Bilateral adrenal masses pose diagnostic difficulties, necessitating a thorough etiological investigation.
- Multidisciplinary team management in specialized centers is recommended for optimal treatment of PAL.
