Sasagawa I, Nishimori H, Futagawa S, Sadamori N, Jo T, Kawachi T, Hayashibara T, Tokunaga S, Itoyama T, Tsukasaki K
Department of Internal Medicine, Isahaya Insurance General Hospital.
Rinsho Ketsueki. 1991 Nov;32(11):1492-7.
This report describes three of primary bilateral adrenal lymphoma. Case 1 was an 87-year-old female. She was admitted to our hospital because of anemia. Masses in the bilateral adrenal glands were noted on abdominal computed tomography (CT). After combination chemotherapy, bilateral adrenal masses transiently showed a remarkable reduction, but they soon enlarged and she died. The pathological diagnosis at autopsy was non-Hodgkin lymphoma (diffuse medium sized cell type). Case 2 was a 77-year-old male. He visited our hospital complaining of general malaise. Masses in the bilateral adrenal glands were noted on abdominal CT and he was admitted. The left adrenal was biopsied under echo guidance. The pathological diagnosis was non-Hodgkin lymphoma (diffuse medium sized cell type). The bilateral adrenal masses transiently responded to combination chemotherapy, but soon enlarged again and he died. Case 3 was a 75-year-old male. He visited our hospital complaining of general malaise. Masses in the bilateral adrenal glands was noted on abdominal CT and he was admitted. The left adrenal was biopsied under echo guidance. The pathological diagnosis was non-Hodgkin lymphoma (diffuse medium sized cell type). Combination chemotherapy was followed by a complete remission and discharge of the patient.
本报告描述了三例原发性双侧肾上腺淋巴瘤。病例1为一名87岁女性。她因贫血入住我院。腹部计算机断层扫描（CT）显示双侧肾上腺有肿块。联合化疗后，双侧肾上腺肿块暂时显著缩小，但很快又增大，患者死亡。尸检病理诊断为非霍奇金淋巴瘤（弥漫性中等大小细胞型）。病例2为一名77岁男性。他因全身不适前来我院就诊。腹部CT显示双侧肾上腺有肿块，遂入院。在超声引导下对左侧肾上腺进行活检。病理诊断为非霍奇金淋巴瘤（弥漫性中等大小细胞型）。双侧肾上腺肿块对联合化疗有短暂反应，但很快又再次增大，患者死亡。病例3为一名75岁男性。他因全身不适前来我院就诊。腹部CT显示双侧肾上腺有肿块，遂入院。在超声引导下对左侧肾上腺进行活检。病理诊断为非霍奇金淋巴瘤（弥漫性中等大小细胞型）。联合化疗后患者完全缓解并出院。
