Wang J, Sun N C, Renslo R, Chuang C C, Tabbarah H J, Barajas L, French S W
Department of Pathology, Harbor-UCLA Medical Center, Torrance, California 90509, USA.
Am J Hematol. 1998 Jun;58(2):130-6. doi: 10.1002/(sici)1096-8652(199806)58:2<130::aid-ajh8>3.0.co;2-t.
Primary adrenal lymphoma (PAL) is extremely uncommon. We describe a case of clinically silent non-Hodgkin's B-cell lymphoma of diffuse large cell type with exclusive left adrenal localization. The tumor was discovered by computed tomography (CT) as a 2.5-cm dense mass and diagnosed at autopsy. Literature concerning this unusual neoplasm is reviewed. During the early stage, particularly when the lesion is small, PAL is likely to be missed. This unusual entity should be included in the differential diagnosis of adrenal masses so that early diagnosis may be made and intervention might dramatically affect the clinical outcome.
原发性肾上腺淋巴瘤（PAL）极为罕见。我们描述了一例临床上无症状的弥漫大B细胞型非霍奇金淋巴瘤，仅局限于左侧肾上腺。该肿瘤通过计算机断层扫描（CT）发现为一个2.5厘米的致密肿块，并在尸检时确诊。本文对有关这种罕见肿瘤的文献进行了综述。在疾病早期，尤其是病变较小时，PAL很可能被漏诊。在肾上腺肿块的鉴别诊断中应考虑到这种罕见情况，以便能早期诊断，而干预措施可能会显著影响临床结局。
