Korean J Med.
2014 Jun;86(6):770-773.
A Case of T-Lymphoblastic Lymphoma/Leukemia with Bilateral Primary Adrenal Involvement
- Affiliations
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- 1Department of Internal Medicine, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Korea. sysong@kangwon.ac.kr
- 2Department of Pathology, Kangwon National University Hospital, Kangwon National University School of Medicine, Chuncheon, Korea.
Abstract
- T-lymphoblastic leukemia/lymphoma is an aggressive condition with frequent involvement of the mediastinum, occurring most frequently in older children, adolescents, and young adults. The involvement of extranodal sites is less common, and abdominal dissemination is unusual, but when present it primarily involves the liver and spleen. However, primary lymphoma of the adrenal glands is rare. The majority of reported cases presented with a B-cell immunophenotype. Herein, we report the case of a patient with T-lymphoblastic leukemia/lymphoma who presented predominantly with bilateral adrenal masses without lymphadenopathy, and whose clinical course deteriorated rapidly.
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