Garcês Soares Sofia, Martins Mendes Teresa, Couto Catarina, Pereira Anjos Diana, Sá Ana João
Internal Medicine, Centro Hospitalar Tâmega e Sousa, Penafiel, PRT.
Cureus. 2021 Jan 6;13(1):e12527. doi: 10.7759/cureus.12527.
Diffuse large B-cell lymphoma (DLBCL) is the most common type of non-Hodgkin's lymphoma (NHL) and it can metastasize to extranodal sites. The involvement of the adrenal glands is rare. In this report, we discuss the case of a 65-year-old man with complaints of asthenia, anorexia, hypersudoresis, and a weight loss of 10 kg in the month prior to his presentation. Suprarenal insufficiency and bilateral masses with heterogeneous contrast uptake in the adrenal glands were documented on a thoracoabdominopelvic CT. Infectious causes and functioning tumors were excluded. After an exhaustive study, DLBCL was diagnosed. Through this case report, the authors intend to sound the alert on the existence of a rare presentation of DLBCL.
弥漫性大B细胞淋巴瘤（DLBCL）是最常见的非霍奇金淋巴瘤（NHL）类型，可转移至结外部位。肾上腺受累罕见。在本报告中，我们讨论了一例65岁男性患者的病例，该患者在就诊前一个月出现乏力、厌食、多汗以及体重减轻10公斤的症状。胸腹部盆腔CT显示肾上腺功能不全以及肾上腺双侧肿块，对比剂摄取不均匀。排除了感染性病因和功能性肿瘤。经过全面检查，诊断为DLBCL。通过本病例报告，作者旨在提醒注意DLBCL这种罕见表现的存在。
