Key result
Adrenal biopsy reveals primary adrenal lymphoma in a hypotensive man with rapidly enlarging bilateral masses.
Why the study?
Rare causes of adrenal masses and primary adrenal insufficiency require detailed investigation and management guidance.
Case Report (n=1)
Primary adrenal lymphoma should be considered as a rare cause of rapidly enlarging bilateral adrenal masses and primary adrenal insufficiency.
May warrant biopsy consideration for bilateral adrenal masses with insufficiency; case reports leave open prevalence and management data.
A 72-year-old man presented with weight loss, night sweats and haemoptysis and was hypotensive. CT imaging showed rapidly enlarging bilateral adrenal masses, and he was found to have primary adrenal insufficiency. An adrenal gland biopsy revealed the rare diagnosis of primary adrenal lymphoma. This unique case highlights possible rare causes of adrenal masses and adrenal insufficiency, their investigation and management principles.
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Hii et al. (2017) conducted a case report in Primary adrenal insufficiency (n=1). Adrenal gland biopsy was evaluated on Diagnosis of primary adrenal lymphoma. A 72-year-old man presenting with hypotension and rapidly enlarging bilateral adrenal masses was diagnosed with primary adrenal lymphoma via adrenal gland biopsy.
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