Santhosh Sampath, Mittal Bhagwant Rai, Shankar Praveen, Kashyap Raghava, Bhattacharya Anish, Singh Baljinder, Das Ashim, Bhansali Anil
Department of Nuclear Medicine and PET, PGIMER, Chandigarh 160 012, India.
Hell J Nucl Med. 2011 May-Aug;14(2):166-7.
Primary adrenal lymphoma is extremely rare. We report a young patient who presented with non- specific symptoms of fever and abdominal pain. Conventional imaging modalities demonstrated bilateral bulky adrenal masses, and whole-body fluorine-18-fluorodesoxyglucose ((18)F-FDG) positron emission tomography/computed tomography showed intense (18)F-FDG-avid bilateral adrenal masses with no evidence of extra-adrenal spread. A pathological diagnosis of non-Hodgkin lymphoma of peripheral T-cell type was made. The present case indicates that primary adrenal lymphoma should be included in the differential diagnosis of bilateral adrenal masses.
原发性肾上腺淋巴瘤极为罕见。我们报告了一名年轻患者,其表现为发热和腹痛等非特异性症状。传统影像学检查显示双侧肾上腺有巨大肿块,全身氟-18-氟脱氧葡萄糖(¹⁸F-FDG)正电子发射断层扫描/计算机断层扫描显示双侧肾上腺肿块有强烈的¹⁸F-FDG摄取,且无肾上腺外扩散的证据。病理诊断为外周T细胞型非霍奇金淋巴瘤。本病例表明,原发性肾上腺淋巴瘤应纳入双侧肾上腺肿块的鉴别诊断中。