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- W3155890253 abstract "Objective: To report a case of primary adrenal gland lymphoma as a cause of adrenal insufficiency.Clinical case: : A 62-year-old female patient who consulted for presenting weight loss, anorexia, malaise andnight sweats. On physical examination, diffuse hyperpigmentation of the skin and oral mucosa and evidence ofpostural hypotension. The abdomen was soft, depressible, with pain on palpation on both flanks and the presenceof a palpable tumor in both lumbar regions. Abdominal ultrasound showed tumors in both adrenal glands, whichwere confirmed by computed tomography that identifi ed large, heterogeneous, and necrotic tumors in both Positron emission tomography showed intense uptake of fluorodeoxyglucose in both adrenal glands. Laboratorytests demonstrated the diagnosis of adrenal insufficiency with a negative stimulation test. Biopsy of the leftadrenal gland confirmed the diagnosis of primary lymphoma. Patient started chemotherapy and hydrocortisonereplacement treatment.Conclusion: Extra-ganglionic lymphomas can appear in any organ. Primary lymphoma of the adrenal gland is avery rare type of extranodal lymphoma. The clinical presentation is nonspecific and may include abdominal pain,weight loss, fever, anemia, nausea, and vomiting. It can often manifest as bilateral adrenal tumors, and adrenalinsufficiency is a common complication. It should be considered in the differential diagnosis of bilateral adrenaltumors, especially if the patient has adrenal insufficiency. The prognosis is bad." @default.
- W3155890253 created "2021-04-26" @default.
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- W3155890253 date "2021-01-01" @default.
- W3155890253 modified "2023-09-24" @default.
- W3155890253 title "LINFOMA PRIMARIO DE GLÁNDULA SUPRARRENAL COMO CAUSA DE INSUFICIENCIA ADRENAL" @default.
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