Kumar Rakesh, Xiu Yan, Mavi Ayse, El-Haddad Ghassan, Zhuang Hongming, Alavi Abass
Division of Nuclear Medicine, Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA.
Clin Nucl Med. 2005 Apr;30(4):222-30. doi: 10.1097/01.rlu.0000155983.46815.1c.
Primary adrenal lymphoma is an extremely rare entity. Only 70 cases have been reported in the English literature. Most of the patients are elderly men with bilateral adrenal masses without extraadrenal involvement. The most common presenting symptoms are fever, weight loss, lumbar pain, and/or symptoms of adrenal insufficiency. Of the cases reported, CT, ultrasound, and MRI were the imaging modalities used to describe the lesions. FDG PET has been used successfully to differentiate benign and malignant adrenal masses. The authors report a 67-year-old man diagnosed as having primary bilateral adrenal lymphoma and having no evidence of extraadrenal spread who was evaluated from the time of diagnosis to complete remission with FDG PET scanning. The literature of this unusual neoplasm is reviewed in detail.
原发性肾上腺淋巴瘤是一种极其罕见的疾病。英文文献中仅报道了70例。大多数患者为老年男性，双侧肾上腺有肿块，无肾上腺外受累。最常见的症状是发热、体重减轻、腰痛和/或肾上腺功能不全的症状。在所报道的病例中，CT、超声和MRI是用于描述病变的影像学检查方法。氟代脱氧葡萄糖正电子发射断层扫描（FDG PET）已成功用于鉴别肾上腺良性和恶性肿块。作者报告了一名67岁男性，被诊断为原发性双侧肾上腺淋巴瘤，无肾上腺外转移证据，从诊断时起至完全缓解期间接受了FDG PET扫描评估。本文详细回顾了关于这种罕见肿瘤的文献。
