Figueiredo Inês, Guimarães Francisco, Duarte Cristina, Fontes Luísa
Department of Internal Medicine, Hospital Companhia União Fabril (CUF) Descobertas, Lisboa, PRT.
Cureus. 2024 Jan 30;16(1):e53231. doi: 10.7759/cureus.53231. eCollection 2024 Jan.
The prevalence of adrenal incidentalomas (i.e., incidental findings) has grown in recent years with the evolution of imaging methods. Adrenal masses can be benign or malignant. Malignant ones are less frequent, but the detection of primary adrenal neoplasms is even less frequent, especially in the case of a diffuse large B-cell lymphoma (DLBCL). This case concerns a 68-year-old man who presented to the emergency department due to fatigue and anorexia. Given his blood test results on admission, he underwent a computed tomography (CT) with angiography that identified a mass in the left adrenal gland with displacement of the ipsilateral kidney. Left tumorectomy, adrenalectomy, and nephrectomy were performed, and the mass corresponded to a nongerminal center-type DLBCL. This case highlights the importance of prompt diagnosis and surgical and pharmacologic treatment of DLBCL.
近年来，随着成像方法的发展，肾上腺偶发瘤（即偶然发现的病变）的患病率有所上升。肾上腺肿块可以是良性的，也可以是恶性的。恶性肿块较为少见，但原发性肾上腺肿瘤的检出更为罕见，尤其是在弥漫性大B细胞淋巴瘤（DLBCL）的情况下。本病例涉及一名68岁男性，因疲劳和厌食症就诊于急诊科。根据其入院时的血液检查结果，他接受了计算机断层扫描（CT）血管造影，发现左肾上腺有一个肿块，同侧肾脏移位。进行了左肿瘤切除术、肾上腺切除术和肾切除术，肿块为非生发中心型DLBCL。本病例强调了DLBCL及时诊断以及手术和药物治疗的重要性。
