Ito Y, Yamaha M, Koide T, Sakai S, Seko A, Watanabe K
Department of Urology, Gifu Prefectural Gifu Hospital.
Hinyokika Kiyo. 1988 Jan;34(1):137-40.
A 47-year-old woman presented with the chief complaint of gait disturbance and pain of bilateral lower limbs. She was diagnosed as having necrotizing myelitis because myelography was normal and incidentally bilateral adrenal tumor was recognized by ultrasonography and computed tomography. Left adrenalectomy was performed under the diagnosis of bilateral non-functioning adrenal tumor or metastasis to the adrenal glands with unknown origin. The tumor was 10 x 6 x 3 cm in size and 175 g in weight. The pathological diagnosis was non-Hodgkin lymphoma (diffuse large cell type). After combination chemotherapy of vincristine, cyclophosphamide, prednisolone and adriamycin, residual right adrenal mass showed a remarkable reduction, but unfortunately she died 5 months later postoperatively because of complications of lung edema and pneumonitis.
一名47岁女性因步态障碍和双下肢疼痛为主诉前来就诊。她被诊断为坏死性脊髓炎，因为脊髓造影正常，而超声和计算机断层扫描偶然发现双侧肾上腺肿瘤。在诊断为双侧无功能肾上腺肿瘤或不明来源的肾上腺转移瘤后，进行了左侧肾上腺切除术。肿瘤大小为10×6×3厘米，重量为175克。病理诊断为非霍奇金淋巴瘤（弥漫大细胞型）。在使用长春新碱、环磷酰胺、泼尼松龙和阿霉素联合化疗后，残留的右侧肾上腺肿块明显缩小，但不幸的是，她在术后5个月因肺水肿和肺炎并发症死亡。
