A patient with bilateral primary adrenal lymphoma, presenting with fever of unknown origin and achieving long-term disease-free survival after resection and chemotherapy

被引：0

作者：

H.-C. Wu

L.-Y. Shih

T.-C. Chen

S.-H. Chu

C.-C. Tsai

机构：

[1] Division of Hematology-Oncology,

[2] Department of Internal Medicine,undefined

[3] Chang Gung Memorial Hospital,undefined

[4] Chang Gung University,undefined

[5] 199 Tung Hwa North Road,undefined

[6] Taipei,undefined

[7] Taiwan e-mail: sly7012@adm.cgmh.com.tw Tel.: 00886-3-3281200 ext. 2524 Fax: 00886-3-3286697,undefined

[8] Department of Pathology,undefined

[9] Chang Gung Memorial Hospital,undefined

[10] Taipei,undefined

[11] Taiwan,undefined

[12] Division of Urology,undefined

[13] Department of Surgery,undefined

[14] Chang Gung Memorial Hospital,undefined

[15] Taipei,undefined

[16] Taiwan,undefined

[17] Department of Diagnostic Radiology,undefined

[18] Chang Gung Memorial Hospital,undefined

[19] Taipei,undefined

[20] Taiwan,undefined

来源：

Annals of Hematology | 1999年 / 78卷

关键词：

Key words Primary adrenal lymphoma; Adrenal insufficiency; Fever of unknown origin;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

Primary adrenal lymphoma is extremely rare. We describe a 64-year-old female patient who presented with fever of unknown origin. Imaging studies demonstrated bilateral bulky adrenal masses. She underwent bilateral adrenalectomy and the pathological diagnosis was large cell immunoblastic (B-cell) lymphoma. She received adjuvant combination chemotherapy with cyclophosphamide, doxorubicin, vincristine, and prednisolone in the following 6 months. She has been relapse free for 52 months. To the best of our knowledge, this case has the longest disease-free survival among those reported. The present case indicated that primary adrenal lymphoma should be included in the differential diagnosis of fever of unknown origin and/or suprarenal mass. Chemotherapy following surgical resection may be considered the treatment of choice.

引用

页码：289 / 292

页数：3