Arai N, Hara A, Umeda M, Shirai T
First Department of Internal Medicine, Toho University School of Medicine, Tokyo.
Rinsho Ketsueki. 1990 Sep;31(9):1576-80.
The patient was a 47-year-old male who attended our hospital complaining of back pain. Masses in the bilateral adrenal glands were noted on abdominal ultrasonography and the patient was admitted to the hospital on August 9, 1988. Upon test laparotomy, non-Hodgkin's lymphoma (diffuse small-cell type, B-cell type) was diagnosed, and endocrinological examination revealed hypofunction of the adrenal gland. The results of various tests showed absence of distance metastasis except for that to the bilateral adrenal glands. Since complete remission was attained after 2 courses of COP-BLAM III therapy, and adrenal function also became normal, the patient was discharged on January 9, 1989. Malignant lymphoma originating from the adrenal gland seems to be a rare condition, and only 16 cases have been reported to this date.
患者为一名47岁男性，因背痛前来我院就诊。腹部超声检查发现双侧肾上腺有肿块，该患者于1988年8月9日入院。经剖腹探查，诊断为非霍奇金淋巴瘤（弥漫小细胞型，B细胞型），内分泌检查显示肾上腺功能减退。各项检查结果表明，除双侧肾上腺转移外，无远处转移。由于COP - BLAM III方案化疗2个疗程后达到完全缓解，且肾上腺功能也恢复正常，患者于1989年1月9日出院。原发于肾上腺的恶性淋巴瘤似乎是一种罕见疾病，迄今为止仅有16例报道。
