Mainly Adrenal Gland Involving NK/T-Cell Nasal Type Lymphoma Diagnosed with Delay due to Mimicking Adrenal Hemorrhage

被引：2

作者：

Kang, Seon Mee ^{[2
]}

Kim, Woong Ji ^{[1
]}

Lee, Kyung Ae ^{[1
]}

Baek, Hong Sun ^{[1
]}

Park, Tae Sun ^{[1
]}

Jin, Heung Yong ^{[1
]}

机构：

[1] Chonbuk Natl Univ, Sch Med,Res Inst Clin Med, Div Endocrinol & Metab, Dept Internal Med, Jeonju 561712, South Korea

[2] Seoul Natl Univ, Bundang Hosp, Div Endocrinol & Metab, Dept Internal Med, Songnam, South Korea

来源：

JOURNAL OF KOREAN MEDICAL SCIENCE | 2011年 / 26卷 / 10期

关键词：

Bilateral adrenal masses; Extra-nodal lymphoma; Natural killer (NK)/T-cell nasal type lymphoma; OF-THE-LITERATURE;

D O I：

10.3346/jkms.2011.26.10.1386

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 29-yr-old man, presented with abdominal pain and fever, had an initial computed tomography (CT) scan revealing low attenuation of both adrenal glands. The initial concern was for tuberculous adrenalitis or autoimmune adrenalitis combined with adrenal hemorrhage. The patient started empirical anti-tuberculous medication, but there was no improvement. Enlargement of cervical lymph nodes were developed after that and excisional biopsy of cervical lymph nodes was performed. Pathological finding of excised lymph nodes was compatible to NK/T-cell lymphoma. The patient died due to the progression of the disease even after undergoing therapeutic trials including chemotherapy. Lymphoma mainly involving adrenal gland in the early stage of the disease is rare and the vast majority of cases that have been reported were of B-cell origin. From this case it is suggested that extra-nodal NK/T-cell lymphoma should be considered as a cause of bilateral adrenal masses although it is rare.

引用

页码：1386 / 1390

页数：5