Primary adrenal diffuse large B-cell lymphoma with normal adrenal cortex function:A case report  

作　　者：Zhi-Nan Fan Hong-Jin Shi Bo-Bo Xiong Jin-Song Zhang Hai-Feng Wang Jian-Song Wang 

机构地区：[1]Department of Urology,The Second Affiliated Hospital,Kunming Medical University,Kunming 650000,Yunnan Province,China

出　　处：《World Journal of Clinical Cases》2022年第2期709-716,共8页世界临床病例杂志

基　　金：Supported by National Natural Science Foundation of China,No.82060464 and No.81972395.

摘　　要：BACKGROUND Diffuse large B-cell lymphoma,which accounts for about approximately 30%to 40%of non-Hodgkin's lymphomas,is the most common type and is a class of aggressive B-cell lymphomas.However,diffuse large B-cell lymphomas primary to the adrenal gland are rare.CASE SUMMARY A 73-year-old man was admitted with abdominal pain and fatigue.After admission,enhanced adrenal computed tomography indicated irregular masses on both adrenal glands,with the larger one on the left side,approximately 8.0 cm×4.3 cm in size.The boundary was irregular,and surrounding tissues were compressed.No obvious enhancement was observed in the arterial phase.Resection of the left adrenal gland was performed.Pathological diagnosis revealed diffuse large B-cell lymphoma.After surgery,the patient received RCHOP immunochemotherapy.During the fourth immunochemotherapy,patient condition deteriorated,and he eventually died of respiratory failure.CONCLUSION R-CHOP is the conventional immunochemotherapy for primary adrenal diffuse large B-cell lymphoma.Surgery is mainly used to diagnose the disease.Hence,the ideal treatment plan remains to be confirmed.

关 键 词：Large B-cell lymphoma Adrenal glands IMMUNOCHEMOTHERAPY Surgical procedures Case report 

分 类 号：R736.6[医药卫生—肿瘤]