A case of bilateral primary adrenal malignant lymhoma with addison disease

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  • Addison病で発症した両側性副腎原発悪性リンパ腫の1例
  • ショウレイ Addisonビョウ デ ハッショウ シタ リョウソクセイ フクジン ゲンパツ アクセイ リンパシュ ノ 1レイ

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Abstract

An 80-year-old man who had operated on for advanced gastric cancer, early prostate cancer and early lung cancer was admitted to our hospital because of appetite loss and general fatigue. The serum levels of LDH and ACTH were high. Abdominal CT scan showed bilateral adrenal masses, measured 7cm in diameter on the left and 6cm on the right. We suspected metastasis of lung cancer to the bilateral adrenal glands, and planed further examinations. But the patient's condition took downhill course and he died of acute adrenal failure 3 days after admission. Autopsy revealed the definite diagnosis of diffuse large B-cell malignant lymphoma of the bilateral adrenal glands. Although primary adrenal malignant lymphoma is extremely rare, it can cause adrenal failure easily. We should take adrenal malignant lymphoma into account as a differential diagnosis of adrenal tumors.

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