article = {IJSCR-2020-1-109}
title = {Asymptomatic Unilateral Primary Adrenal Lymphoma Mimicking a NonFunctioning Adenoma in Adult Male with a Good Outcome}
journal = {International Journal of Surgical Case Reports}
year = {2020}
issn = {2674-4171}
doi = {http://dx.doi.org/10.31487/j.IJSCR.2020.01.09}
url = {https://www.sciencerepository.org/asymptomatic-unilateral-primary_IJSCR-2020-1-109 
author = {Abdulla Darwish ,Ayman Raees ,Fatima AlSaad,Sara Alsaad ,}
keywords = {Extranodal, unilateral, lymphoma, histopathology}
abstract ={Primary adrenal lymphoma (PAL) is a type of extranodal lymphoma that is rarely encountered in clinical
settings. It is regarded as a high-grade malignancy with a very poor prognosis. Most PALs are bilateral and
hardly unilateral. Nevertheless, a rise in the number of cases of bilateral and unilateral PALs has been noted
in the past few years, with a wide range of presenting symptoms from fatigue to adrenal insufficiency. Many
were found incidentally via radiology imaging or on postmortem examinations. This paper aims to report
an unusual case of a unilateral primary adrenal non-Hodgkin’s lymphoma in a previously healthy 53-yearold Bahraini male, who presented with vague yet persistent right flank pain of a few months’ duration.
Imaging modalities revealed a large right adrenal mass measuring 11x10x9 cm which was initially thought
to be an adenoma on CT scan, but post laparoscopic surgical excision was diagnosed histologically as
Diffuse Large B Cell Lymphoma (DLBCL). Cycles of Rituximab-CHOP chemotherapy was given, and on
regular follow up for two and a half years, the patient remains disease-free with no signs of recurrence.}