Bilateral Adrenal Lymphoma: A Diagnostic Challenge


adrenal gland
image-guided biopsy

How to Cite

Kharbach Y, Rachidi Alaoui S, Bakkali Issaoui Z, Khallouk A. Bilateral Adrenal Lymphoma: A Diagnostic Challenge. Integr J Med Sci [Internet]. 2021Jan.15 [cited 2021Feb.25];8. Available from:


Bilateral primary adrenal lymphoma is rare with no specific clinical or imaging features. We report herein the case of a 44-year-old man presenting with massive bilateral adrenal tumors associated with normal adrenal function. Computed tomography findings were nonspecific. Because pheochromocytoma was ruled out and the patient had a normal coagulation test, we performed an ultrasound-guided adrenal biopsy for diagnostic purposes. Pathology confirmed adrenal non-Hodgkin's lymphoma. By reporting our case, we aimed to propose a practical approach for this rare entity and to show that there are still situations in which biopsy is necessary to make a diagnosis.
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Copyright (c) 2021 Kharbach Y et al.