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A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
Bilateral primary adrenal lymphoma with adrenal insufficiency
Aishah Ekhzaimy1, Ahmad Mujamammi2
1Division of Endocrinology, King Saud University, College of Medicine and King Khalid University Hospital, Riyadh, Saudi Arabia.
Abstract:
Primary adrenal lymphoma is an extremely rare condition. We describe a case of bilateral adrenal lymphoma in a man aged 55 years who was admitted to our hospital. He had a 3-month history of left flank pain, nausea and vomiting with weight loss. A CT scan at a private hospital revealed bilateral large adrenal masses; the patient was referred to our centre based on these findings. He was evaluated for pheochromocytoma by an endocrinology team; however, all findings were negative. In addition, a cosyntropin stimulation test indicated adrenal insufficiency. A Trucut biopsy of the adrenal gland revealed diffuse large B-cell lymphoma of the adrenal glands, and the patient responded extremely well to chemotherapy.
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