Jacobs Bruce L, Blodgett Todd M, Monaco Sara E, Hrebinko Ronald L, Jacobs Samuel A
Department of Urology, University of Pittsburgh School of Medicine, Pennsylvania 15213-3232, USA.
Can J Urol. 2010 Oct;17(5):5411-4.
Lymphomatous involvement of an adrenal gland during the course of a lymphoma is common, but a primary presentation of adrenal insufficiency in a patient with lymphoma involving both adrenal glands is rare. We describe a 36-year-old man with non-Hodgkin lymphoma (NHL) who presented with adrenal insufficiency. His evaluation consisted of several imaging modalities, including positron emission tomography-computed tomography (PET-CT) scans, which were helpful in defining the extent of disease prior to treatment and in monitoring the patient's response to treatment. Our case illustrates the importance of preoperative evaluation to exclude a lymphoma, particularly in patients with bilateral renal and/or adrenal masses.
淋巴瘤病程中肾上腺受淋巴瘤累及很常见，但淋巴瘤累及双侧肾上腺的患者以肾上腺功能不全为主要表现则很罕见。我们描述了一名36岁患非霍奇金淋巴瘤（NHL）的男性，其表现为肾上腺功能不全。他的评估包括多种影像学检查方法，包括正电子发射断层扫描-计算机断层扫描（PET-CT），这有助于在治疗前确定疾病范围并监测患者对治疗的反应。我们的病例说明了术前评估以排除淋巴瘤的重要性，特别是对于有双侧肾脏和/或肾上腺肿块的患者。
