Keywords
adrenal gland
image-guided biopsy
Categories
How to Cite
Abstract
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.
References
Laurent C, Casasnovas O, Martin L, Chauchet A, Ghesquieres H, Aussedat G, et al. Adrenal lymphoma: Presentation, management and prognosis. QJM. 2017;110:103‐9. https://doi.org/10.1093/qjmed/hcw174
Lomte N, Bandgar T, Khare S, Jadhav S, Lila A, Goroshi M, et al. Bilateral adrenal masses: A single-centre experience. Endocr Connect. 2016; 5:92–100. https://doi.org/10.1530/ec-16-0015
Rashidi A, Fisher SI. Primary adrenal lymphoma: A systematic review. Ann Hematol. 2013;92:1583–93. https://doi.org/10.1007/s00277-013-1812-3
Zhou L, Peng W, Wang C, Liu X, Shen Y, Zhou K. Primary adrenal lymphoma: Radiological, pathological, clinical correlation. Eur J Radiol. 2012;81:401–5. https://doi.org/10.1016/j.ejrad.2010.11.026
Young WF Jr. Clinical practice. The incidentally discovered adrenal mass. N Engl J Med. 2007;356:601–10. https://doi.org/10.1056/nejmcp065470
Gupta P, Bhalla A, Sharma R. Bilateral adrenal lesions. J Med Imaging Radiat Oncol. 2012; 56:636–45. https://doi.org/10.1111/j.1754-9485.2012.02435.x
Sharma KV, Venkatesan AM, Swerdlow D, DaSilva D, Beck A, Jain N, et al. Image-guided adrenal and renal biopsy. Tech Vasc Interv Radiol. 2010; 13:100–9. https://doi.org/10.1053/j.tvir.2010.02.005
Ierardi AM, Petrillo M, Patella F, Biondetti P, Fumarola EM, Angileri SA, et al. Interventional radiology of the adrenal glands: Current status. GlandSurg. 2018; 7:147–65. https://dx.doi.org/10.21037%2Fgs.2018.01.04
Alshahrani MA, Bin Saeedan M, Alkhunaizan T, Aljohani IM, Azzumeea FM. Bilateral adrenal abnormalities: Imaging review of different entities. Abdom Radiol NY. 2019; 44:154–79. https://doi.org/10.1007/s00261-018-1670-5
Gunna S, Neyaz Z, Bhatia E, Marak RS, Mishra R, Verma R. Results of percutaneous computedtomography-guided biopsy of adrenal lesions andspectrum of computed tomography findings. J Clin Imaging Sci. 2020; 10:16. https://doi.org/10.25259/jcis_3_2020
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2021 Kharbach Y et al.
