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Endocrine Abstracts (2020) 70 EP57 | DOI: 10.1530/endoabs.70.EP57

1Endocrinology and Metabolism, İstanbul Medipol University, İstanbul, Turkey; 2Internal Medicine, İstanbul Medipol University, İstanbul, Turkey


Primary adrenal lymphoma(PAL) is very rare and constitutes <1% of cases of extranodal lymphomas. Most common subtype of PAL is diffuse large B cell lymphoma. A 46-year-old male patient without any underlying disease was admitted to our hospital with a complaint of bilateral back pain, cough and fever. His laboratory tests revealed a hemoglobin: 5 g/dl (14–17.5), white blood cell: 3.8 103/µl (4.4–11.3), platelet: 111 103/µl (130–403). No pathological findings were detected in bone marrow biopsy. Abdominal MRI and chest CT revealed that bilateral adrenal mass without any lymphadenopathy. PET/CT showed a mass of 73×53 mm on the left adrenal gland and a mass of 145×90 mm on the right adrenal gland. Adrenal function was evaluated as non-functional adrenal mass. Surgical right adrenalectomy was performed. Postoperative basal cortisol level: 12.25 µg/dl (6.02–18.4), adrenal insufficiency is not detected. Histopathological examinationreported as diffuse large B cell lymphoma. R-CHOP chemotherapy was planned by consulting hematology. The 5-year cancer spesific survival rate for primary adrenal lymphoma is 38% and it should be considered as the differential diagnosis of the adrenal mass, especially when they are bilateral and grow rapidly.

Volume 70

22nd European Congress of Endocrinology

Online
05 Sep 2020 - 09 Sep 2020

European Society of Endocrinology 

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