原发性肾上腺淋巴瘤浸润至胰腺:肾上腺肿大的罕见病因

L. Nigam, K. Kanodia, A. Vanikar, Rashmi D. Patel, K. Suthar, S. J. Rizvi
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摘要

原发性肾上腺淋巴瘤是一种罕见的疾病,可在双侧肾上腺肿物、伴/不伴淋巴结病变、伴/不伴肾上腺功能不全的患者中怀疑。我们报告一个罕见的情况下,45岁的男子谁提出在腹部疼痛,没有迹象表明肾上腺功能不全和双侧肾上腺肿块影像学。光镜下免疫组织化学和流式细胞术证实弥漫性大b细胞淋巴瘤的诊断。患者给予环磷酰胺、阿霉素、长春新碱、强的松龙等化疗方案,至最后一次随访情况良好。
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Primary Adrenal Lymphoma Infiltrating in to Pancreas: A Rare Cause of Adrenomegaly -
Primary adrenal lymphoma is a rare entity and may be suspected in patients having bilateral adrenal masses, with/without lymphadenopathy, and with/without adrenal insufficiency. We report a rare case of a 45-year-old man who presented with pain in the abdomen, with no signs of adrenal insufficiency and bilateral adrenal masses on imaging. Light microscopy findings with immunohistochemistry and flow cytometry confirmed the diagnosis of diffuse large B-cell lymphoma. The patient was offered cyclophosphamide, adriamycin, vincristine, and prednisolone chemotherapy regimen and doing well till the last follow-up.
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