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2014, Number 3

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Revista Cubana de Cirugía 2014; 53 (3)

Primary Non Hodgkin´s lymphoma of the adrenal gland

Burneo EM, Pérez DMD, Bernardos GL, Osorio PS, Cuadrado AM, Turégano FF

Language: Spanish
References: 10
Page: 318-323
PDF size: 115.64 Kb.


ABSTRACT

Primary non- Hodgkin's lymphoma of the adrenal gland is very rare. Its initial diagnosis is difficult and needs to be histological. Diffuse large B- cell lymphoma is the most common histological type. This is the report of a 62 years old woman, who was performed abdominal tomography to disclose a 18 cm tumor in the adrenal gland with carcinoma characteristics. The tumor was removed and the final pathologic diagnosis was diffuse large B-cell lymphoma. This type of lymphoma has poor prognosis since the average survival rates are roughly 13 months. There is no well-defined therapeutic regimen, although the most widely accepted treatment is R-CHOP scheme. The roles of radiotherapy and tumor resection are not clearly established. Primary adrenal lymphoma should be considered in the differential diagnosis of patients presenting with an adrenal mass. When this condition is suspected, then it is advisable to perform a imaging-guided needle biopsy to avoid unnecessary surgery.


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