Primary Bilateral Adrenal Diffuse Large B-cell Lymphoma Demonstrating Adrenal Failure
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概要
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Primary adrenal lymphoma (PAL) is extremely rare although involvement of malignant lymphoma into adrenals is common. We report a case of a 58-year-old man with bilateral PAL who demonstrated adrenal insufficiency. Primary large B-cell lymphoma was proven by a computed tomography-guided needle biopsy of the adrenal tumor. Although a complete remission was once achieved by combination chemotherapy plus rituximab, a recurrence occurred with brain metastasis leading to his death. We concluded that PAL should be considered as a possible cause of bilateral adrenal incidentalomas with progressive adrenal insufficiency.
著者
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Tsukamoto Norifumi
Department Of Medicine And Clinical Science
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Yokoo Hideaki
Department Of 1human Pathology Gunma University Graduate School Of Medicine
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Sasaki Atsushi
Department Of Applied Pharmacology Graduate School Of Medicine And Pharmaceutical Sciences Universit
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Nakazato Yoichi
Department Of Human Pathology Gunma University Graduate School Of Medicine
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Yamada Masanobu
Department Of Medicine And Molecular Science Gunma University Graduate School Of Medicine
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Hashimoto Koshi
Department Of Medicine And Molecular Science Gunma University Graduate School Of Medicine
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Mori Masatomo
Department Of Internal Medicine And Molecular Science Graduate School Of Medicine Gunma University
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Nojima Yoshihisa
Department Of Medicine And Clinical Science Graduate School Of Medicine
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Kaneko Yoriaki
Department Of Medicine And Clinical Science Gunma University Graduate School Of Medicine
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Okajo Jun
Department Of Medicine And Clinical Science Gunma University Graduate School Of Medicine
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Handa Hiroshi
Department Of Bioscience And Biotechnology Tokyo Institute Of Technology
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Horiguchi Kazuhiko
Department Of Medicine And Molecular Science Gunma University Graduate School Of Medicine
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Okada Shuichi
Department Of Aerospace Engineering Osaka Prefecture University
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Suto Mariko
Department Of Dermatology Gunma University Graduate School Of Medicine
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Masuo Takashige
Department of Internal Medicine, Gunma University School of Medicine
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Nojima Yoshihisa
Department of Medicine and Clinical Science, Graduate School of Medicine, Gunma University
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Hashizume Masayuki
Department of Medicine and Molecular Science, Graduate School of Medicine, Gunma University
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Suto Mariko
Department of Medicine and Clinical Science, Graduate School of Medicine, Gunma University
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Horiguchi Kazuhiko
Department of Medicine and Molecular Science, Graduate School of Medicine, Gunma University
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Tsukamoto Norifumi
Department of Medicine and Clinical Science, Graduate School of Medicine, Gunma University
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Handa Hiroshi
Department of Medicine and Clinical Science, Graduate School of Medicine, Gunma University
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Sasaki Atsushi
Department of Human Pathology, Graduate School of Medicine, Gunma University
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