Arai Takashi, Kawamura Naoki, Hattori Tomotaka
Department of Urology, Ebina General Hospital.
Nihon Hinyokika Gakkai Zasshi. 2005 Sep;96(6):647-9. doi: 10.5980/jpnjurol1989.96.647.
A 65 year-old man visited the outpatient clinic of internal medicine complaining of fever and upper abdominal pain. Bilateral adrenal tumors were detected by CT scan and ultrasonography without any hormonal abnormalities. The diagnosis was bilateral primary non-functioning adrenal tumors because there was no tumor except adrenals with the detailed examinations. Then we are informed about the patient and he was transferred for the surgery. Cortisol was administrated because adrenal insufficiency was observed before surgery. Right adrenalectomy was performed after the recovery of patient status with cortisol. The pathological diagnosis was malignant lymphoma (diffuse large, B cell type). The patient was getting worse and dead 15 days after the surgery.
一名65岁男性因发热和上腹部疼痛前往内科门诊就诊。通过CT扫描和超声检查发现双侧肾上腺肿瘤，未发现任何激素异常。由于详细检查后除肾上腺外未发现其他肿瘤，诊断为双侧原发性无功能肾上腺肿瘤。然后我们告知了患者情况，并将他转至外科进行手术。由于术前观察到肾上腺功能不全，给予了皮质醇治疗。在患者使用皮质醇后病情恢复，进行了右侧肾上腺切除术。病理诊断为恶性淋巴瘤（弥漫大B细胞型）。患者术后15天病情恶化死亡。
