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Adrenal lymphoma

Case contributed by Dr Mohamed Abdelrazik Elsayed

Presentation

Abdominal pain and diarrhea

Patient Data

Age: 80 years
Gender: Male
CT

Post-contrast CT abdomen shows bilateral large adrenal masses, larger on the left side, which extends to cross the midline. Both lesions show inhomogeneous post-contrast enhancement and mildly displace the surrounding solid organs with no infiltrations, associated with multiple discrete retroperitoneal enlarged lymph nodes.

Dense urinary bladder stone.

CT

CT guided biopsy of the left adrenal lesion shows diffuse large B-cell lymphoma, non-GC type.

Case Discussion

CT abdomen study shows bilateral adrenal masses which confirmed by CT guided biopsy as a primary adrenal lymphoma which is an uncommon adrenal lesion, usually presents bilaterally and affects elderly people.  

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Case information

rID: 84145
Published: 18th Nov 2020
Last edited: 18th Nov 2020
System: Urogenital
Tag: adrenal
Inclusion in quiz mode: Included
Institution: Heart of England NHS Foundation Trust

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