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Adrenal insufficiency as presenting feature of non-Hodgkin lymphoma
Jacobs L. Bruce; Blodgett M. Todd; Monaco E. Sara; Hrebinko L. Ronald; Jacobs A. Samuel; Department of Urology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA
Oct 2010 (Vol. 17, Issue 5, Pages( 5411 - 5414)
PMID: 20974041

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  • Lymphomatous involvement of an adrenal gland during the course of a lymphoma is common, but a primary presentation of adrenal insufficiency in a patient with lymphoma involving both adrenal glands is rare. We describe a 36-year-old man with non-Hodgkin lymphoma (NHL) who presented with adrenal insufficiency. His evaluation consisted of several imaging modalities, including positron emission tomography-computed tomography (PET-CT) scans, which were helpful in defining the extent of disease prior to treatment and in monitoring the patient's response to treatment. Our case illustrates the importance of preoperative evaluation to exclude a lymphoma, particularly in patients with bilateral renal and/or adrenal masses.

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