Kubo M, Koga M, Fujii T, Kaneko T, Yamashita K, Kokubu T
Department of Internal Medicine, Kinki Central Hospital, Hyogo.
Intern Med. 1997 Jan;36(1):47-52. doi: 10.2169/internalmedicine.36.47.
We report a case of bilateral lymphoma of the adrenal glands. A 61-year-old man was admitted to our hospital in clinical shock with anuria. Endocrine examination indicated a diagnosis of Addison's disease. Large tumors were found bilaterally in the suprarenal area, and a needle biopsy was performed, and the diagnosis was malignant lymphoma. Treatment with chemotherapy achieved a moderate response. He was discharged, but died 1 month later. On autopsy, microscopic examination showed extensive intravascular infiltration of lymphoma cells. We considered this to be a case of bilateral adrenal lymphoma with neoplastic angioendotheliosis.
我们报告一例双侧肾上腺淋巴瘤。一名61岁男性因临床休克伴无尿入住我院。内分泌检查提示诊断为艾迪生病。双侧肾上腺区域发现巨大肿瘤，进行了针吸活检，诊断为恶性淋巴瘤。化疗取得了中度缓解。患者出院，但1个月后死亡。尸检时，显微镜检查显示淋巴瘤细胞广泛血管内浸润。我们认为这是一例伴有肿瘤性血管内皮病的双侧肾上腺淋巴瘤病例。
