Benchekroun A, Qarro A, Kasmaoui H, Iken A, Marzouk M, Faik M
Clinique urologique A, hôpital Avicenne, Rabat, Maroc.
Ann Chir. 2003 Oct;128(8):557-60. doi: 10.1016/s0003-3944(03)00218-9.
Primary non-Hodgkin's lymphoma of the adrenal gland is rare. We report the case of a 31-years-old patient hospitalized with asthenia and adrenal insufficiency. The CT scan showed a bilateral adrenal mass. A scano-guided biopsy suspected an endocrinoid tumor. The surgical exploration demonstrated a huge mass invading the retroperitoneal space, and the biopsy concluded to a central follicular phenotype B rmalignant lymphoma with a high rank of malignity. The thoracic CT scan did not show any lymph node. The medullar biopsy eliminated a secondary lymphoma. The patient was treated by chemotherapy and radiotherapy with a good result during 16 months.
原发性肾上腺非霍奇金淋巴瘤较为罕见。我们报告一例31岁因乏力和肾上腺功能不全住院的患者。CT扫描显示双侧肾上腺肿块。经扫描引导活检怀疑为内分泌肿瘤。手术探查发现一个巨大肿块侵犯腹膜后间隙,活检结果为中央滤泡型B恶性淋巴瘤,恶性程度高。胸部CT扫描未显示任何淋巴结。骨髓活检排除了继发性淋巴瘤。该患者接受了化疗和放疗,16个月期间效果良好。