Primary Bilateral Adrenal T-Cell Lymphoma: A Case Report

Detalhes bibliográficos
Autor(a) principal: Branco,Sara Castelo
Data de Publicação: 2019
Outros Autores: Rosinhas,João, Silva,Artur, Gomes,António Taveira, Santo,Ana Espírito, Furtado,António
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2019000300007
Resumo: Primary adrenal lymphoma is an extremely rare entity which constitutes less than 1% of all extranodal lymphomas. Most cases are presented with bilateral adrenal masses with or without extra-adrenal involvement. Presentation may be with adrenal insufficiency which can be a life-threatening situation. The etiological mechanism is not completely understood but autoimmunity seems to have an important role. We report a case of a 44-year old man admitted to the Internal Medicine Department due to thoracic pain, constitutional symptoms and fever. An abdominal computed tomography scan revealed bilateral adrenal masses. A left surgical adrenalectomy was performed, and histological examination diagnosed a non-Hodgkin T-cell lymphoma. Only 5 cases of T-cell type PAL have been reported in literature. This case report emphasizes the complexity of differential diagnosis in the presence of bilateral adrenal masses, the possibility of lymphoma and the importance of early diagnosis in order to improve the clinical outcomes. A review of the literature of this unusual entity was carried out.
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spelling Primary Bilateral Adrenal T-Cell Lymphoma: A Case ReportAdrenal Gland NeoplasmsAutoimmunityLymphoma,T-CellPrimary adrenal lymphoma is an extremely rare entity which constitutes less than 1% of all extranodal lymphomas. Most cases are presented with bilateral adrenal masses with or without extra-adrenal involvement. Presentation may be with adrenal insufficiency which can be a life-threatening situation. The etiological mechanism is not completely understood but autoimmunity seems to have an important role. We report a case of a 44-year old man admitted to the Internal Medicine Department due to thoracic pain, constitutional symptoms and fever. An abdominal computed tomography scan revealed bilateral adrenal masses. A left surgical adrenalectomy was performed, and histological examination diagnosed a non-Hodgkin T-cell lymphoma. Only 5 cases of T-cell type PAL have been reported in literature. This case report emphasizes the complexity of differential diagnosis in the presence of bilateral adrenal masses, the possibility of lymphoma and the importance of early diagnosis in order to improve the clinical outcomes. A review of the literature of this unusual entity was carried out.Sociedade Portuguesa de Medicina Interna2019-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2019000300007Medicina Interna v.26 n.3 2019reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-671X2019000300007Branco,Sara CasteloRosinhas,JoãoSilva,ArturGomes,António TaveiraSanto,Ana EspíritoFurtado,Antónioinfo:eu-repo/semantics/openAccess2024-02-06T17:08:18Zoai:scielo:S0872-671X2019000300007Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:20:50.491190Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Primary Bilateral Adrenal T-Cell Lymphoma: A Case Report
title Primary Bilateral Adrenal T-Cell Lymphoma: A Case Report
spellingShingle Primary Bilateral Adrenal T-Cell Lymphoma: A Case Report
Branco,Sara Castelo
Adrenal Gland Neoplasms
Autoimmunity
Lymphoma,T-Cell
title_short Primary Bilateral Adrenal T-Cell Lymphoma: A Case Report
title_full Primary Bilateral Adrenal T-Cell Lymphoma: A Case Report
title_fullStr Primary Bilateral Adrenal T-Cell Lymphoma: A Case Report
title_full_unstemmed Primary Bilateral Adrenal T-Cell Lymphoma: A Case Report
title_sort Primary Bilateral Adrenal T-Cell Lymphoma: A Case Report
author Branco,Sara Castelo
author_facet Branco,Sara Castelo
Rosinhas,João
Silva,Artur
Gomes,António Taveira
Santo,Ana Espírito
Furtado,António
author_role author
author2 Rosinhas,João
Silva,Artur
Gomes,António Taveira
Santo,Ana Espírito
Furtado,António
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Branco,Sara Castelo
Rosinhas,João
Silva,Artur
Gomes,António Taveira
Santo,Ana Espírito
Furtado,António
dc.subject.por.fl_str_mv Adrenal Gland Neoplasms
Autoimmunity
Lymphoma,T-Cell
topic Adrenal Gland Neoplasms
Autoimmunity
Lymphoma,T-Cell
description Primary adrenal lymphoma is an extremely rare entity which constitutes less than 1% of all extranodal lymphomas. Most cases are presented with bilateral adrenal masses with or without extra-adrenal involvement. Presentation may be with adrenal insufficiency which can be a life-threatening situation. The etiological mechanism is not completely understood but autoimmunity seems to have an important role. We report a case of a 44-year old man admitted to the Internal Medicine Department due to thoracic pain, constitutional symptoms and fever. An abdominal computed tomography scan revealed bilateral adrenal masses. A left surgical adrenalectomy was performed, and histological examination diagnosed a non-Hodgkin T-cell lymphoma. Only 5 cases of T-cell type PAL have been reported in literature. This case report emphasizes the complexity of differential diagnosis in the presence of bilateral adrenal masses, the possibility of lymphoma and the importance of early diagnosis in order to improve the clinical outcomes. A review of the literature of this unusual entity was carried out.
publishDate 2019
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publisher.none.fl_str_mv Sociedade Portuguesa de Medicina Interna
dc.source.none.fl_str_mv Medicina Interna v.26 n.3 2019
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