TY - JOUR
AR - IJSCR-2020-1-109
TI - Asymptomatic Unilateral Primary Adrenal Lymphoma Mimicking a NonFunctioning Adenoma in Adult Male with a Good Outcome
AU - Abdulla Darwish, 
AU - Ayman Raees, 
AU - Fatima, AlSaad
AU - Sara Alsaad, 
JO - International Journal of Surgical Case Reports
PY - 2020
DA - Tue 31, Mar 2020
SN - 2674-4171
DO - http://dx.doi.org/10.31487/j.IJSCR.2020.01.09
UR - https://www.sciencerepository.org/asymptomatic-unilateral-primary_IJSCR-2020-1-109 
KW - Extranodal, unilateral, lymphoma, histopathology
AB - 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.