Adrenal involvement in non-Hodgkin’s lymphoma: four cases and review of literature
Abstract
Primary adrenal non-Hodgkin's lymphoma is very rare. We have seen 2 such cases among 241 cases of non-Hodgkin's lymphoma (0.83%) over the past 4 years. We could detect 2 more cases who had adrenal involvement, in addition to other extra nodal disease sites. Review of English literature revealed 65 cases of primary adrenal non-Hodgkin's lymphoma, most being single case reports. Salient features included-median age of 68 years (mean age of 47.25 years in our series), bilateral adrenal involvement in 60%, and predominantly diffuse large cell histology with 'B' cell immunophenotype. Adrenal insufficiency was present in two-thirds of the patients at diagnosis. Chemotherapy with or without radiotherapy is the mainstay of treatment. About half the patients respond to treatment, with median survival of 4 months. The high index of suspicion for early diagnosis and prompt treatment may improve outcome.
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Primary adrenal lymphoma accounts for less than 1% of all cases of non-Hodgkin lymphoma.
“Conversely primary adrenal lymphoma is much rarer accounting for <1% of all cases of non-Hodgkin lymphoma (183).”
From Adrenal incidentaloma (2020) · cites this paper as [183]
Cites
Coiffier, B., Lepage, E., Brière, J., Herbrecht, R., Tilly, H., Bouabdallah, R., Morel, P., Van Den Neste, E., Salles, G., Gaulard, P., et al. (2002) · New England Journal of Medicine · doi:10.1056/nejmoa011795 · Cited by 5,574 · see citing works
Lymphosarcoma: a review of 1269 cases
ROSENBERG, S. A., DIAMOND, H. D., JASLOWITZ, B., & CRAVER, L. F. (1961) · Medicine · doi:10.1097/00005792-196102000-00002 · Cited by 992 · see citing works
Cabot, R. C., Scully, R. E., Mark, E. J., McNeely, W. F., McNeely, B. U., Harris, W. H., & Rosenberg, A. E. (1990) · New England Journal of Medicine · doi:10.1056/nejm199008233230808 · Cited by 896 · see citing works
Sources of diagnostic error in fine needle aspiration of the thyroid
Hall, T. L., Layfield, L. J., Philippe, A., & Rosenthal, D. L. (1989) · Cancer · doi:10.1002/1097-0142(19890215)63:4 · Cited by 277 · see citing works
Proliferation index as a prognostic marker in breast cancer
Veronese, S. M., Gambacorta, M., Gottardi, O., Scanzi, F., Ferrari, M., & Lampertico, P. (1993) · Cancer · doi:10.1002/1097-0142(19930615)71:12 · Cited by 178 · see citing works
Clinical clues to the cause of Addison's disease
Vita, J. A., Silverberg, S. J., Goland, R., et al. (1985) · The American Journal of Medicine · doi:10.1016/0002-9343(85)90339-0 · Cited by 114 · see citing works
Wu, C., Lee, C., Chen, T.-M., Shyu, M., Hsieh, C., Chen, H.-Y., & Hsieh, F. (1994) · Cancer · doi:10.1002/1097-0142(19940215)73:4 · Cited by 70 · see citing works
HAVEMANN, K., Wolf, M., Holle, R., Gropp, C., Drings, P., Manke, H. G., Hans, K., Schroeder, M. P., Heim, M., Victor, N., et al. (1987) · Cancer · doi:10.1002/1097-0142(19870315)59:6 · Cited by 64 · see citing works
Primary Adrenal Lymphoma Associated with Adrenal Insufficiency: A Distinct Clinical Entity
Pimentel, M., Johnston, J. B., Allan, D. R., et al. (1997) · Leukemia & lymphoma/Leukemia and lymphoma · doi:10.3109/10428199709039025 · Cited by 56 · see citing works
Immunophenotypic analysis of non-hodgkin's lymphomas in Chinese. A study of 75 cases in Hong Kong
Ng, C. S., Chan, J. K. C., Lo, S. T. H., et al. (1986) · Pathology · doi:10.3109/00313028609087562 · Cited by 54 · see citing works
Primary T-cell lymphoma of the adrenal glands with adrenal insufficiency
Schnitzer, B., Smid, D. M., & Lloyd, R. V. (1986) · Human Pathology · doi:10.1016/s0046-8177(86)80136-8 · Cited by 52 · see citing works
Bilateral adrenal non-Hodgkin's lymphoma with adrenal insufficiency
Ellis, R. D. (2000) · Postgraduate Medical Journal · doi:10.1136/pmj.76.898.508 · Cited by 52 · see citing works
Hsu, C.-W., Ho, C., Sheu, W. H., et al. (1999) · Annals of Hematology · doi:10.1007/s002770050492 · Cited by 50 · see citing works
Non-hodgkin's lymphoma limited to the adrenal gland with adrenal insufficiency
Shea, T. C., Spark, R., Kane, B., et al. (1985) · The American Journal of Medicine · doi:10.1016/0002-9343(85)90420-6 · Cited by 49 · see citing works
Lymphoma presenting with adrenal insufficiency
Huminer, D., Garty, M., Lapidot, M., et al. (1988) · The American Journal of Medicine · doi:10.1016/0002-9343(88)90029-0 · Cited by 46 · see citing works
Splenic abscess and sickle cell disease
Al-Salem, A. H., Qaisaruddin, S., Jam'a, A. A., Al-Kalaf, J., & Elbashier, A. M. (1998) · American Journal of Hematology · doi:10.1002/(sici)1096-8652(199806)58:2 · Cited by 41 · see citing works
Wu, H.-C., Shih, L., Chen, T.-C., et al. (1999) · Annals of Hematology · doi:10.1007/s002770050517 · Cited by 39 · see citing works
Adrenal insufficiency with enlarged adrenals
Efremidis, S. C., Harsoulis, F., Δούμα, Σ., et al. (1996) · Abdominal Imaging · doi:10.1007/s002619900037 · Cited by 36 · see citing works
CT Detection of Adrenal Lymphoma
Jafri, S. Z. H., Francis, I. R., Glazer, G. M., et al. (1983) · Journal of Computer Assisted Tomography · doi:10.1097/00004728-198304000-00009 · Cited by 36 · see citing works
Non-Hodgkin's lymphoma of the adrenal gland.
Choi, C. H., Durishin, M., Garbadawala, S. T., et al. (1990) · PubMed · Cited by 33 · see citing works
Isolated lymphoma of genitourinary tract and adrenals
Curry, N. S., Chung, C. J., Potts, W., et al. (1993) · Urology · doi:10.1016/0090-4295(93)90518-f · Cited by 32 · see citing works
MR imaging of primary adrenal lymphoma
Katô, H., Itami, J., Shiina, T., et al. (1996) · Clinical Imaging · doi:10.1016/0899-7071(95)00007-0 · Cited by 31 · see citing works
Bilateral adrenal lymphoma presenting as Addison’s disease
Pagliuca, A., Gillett, D. S., Salisbury, J. R., et al. (1989) · Postgraduate Medical Journal · doi:10.1136/pgmj.65.767.684 · Cited by 31 · see citing works
Primary Adrenal Insufficiency Manifesting as Malignant Lymphoma
Osei, K. (1983) · Archives of Internal Medicine · doi:10.1001/archinte.1983.00350090173029 · Cited by 28 · see citing works
Massive bilateral non-Hodgkin’s lymphomas of the adrenals
Feldberg, M. A. M., Hendriks, M. J., & Klinkhamer, A. C. (1986) · Urologic Radiology · doi:10.1007/bf02924083 · Cited by 27 · see citing works
Primary Adrenal Lymphoma with Chromosomal Abnormalities
Sasagawa, I., Sadamori, N., Itoyama, T., et al. (2009) · Acta Haematologica · doi:10.1159/000204001 · Cited by 27 · see citing works
Adrenal Insufficiency as a Manifestation of Disseminated Non-Hodgkin's Lymphoma
Levy, N. T., Young, W. F., Habermann, T. M., et al. (1997) · Mayo Clinic Proceedings · doi:10.4065/72.9.818 · Cited by 27 · see citing works
Case report: Non-Hodgkin's lymphoma confined to the adrenal glands presenting with Addison's disease
Khan, S., Raby, N., & Michell, M. J. (1990) · Clinical Radiology · doi:10.1016/s0009-9260(05)81628-9 · Cited by 24 · see citing works
ADDISON'S DISEASE DUE TO RETICULUM‐CELL SARCOMA APPARENTLY CONFINED TO THE ADRENALS
Sparagana, M. (1970) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1970.tb02789.x · Cited by 24 · see citing works
Primary Bilateral Adrenal Lymphoma Associated with Idiopathic Thrombocytopenic Purpura
Yamamoto, E., Ozaki, N., Nakagawa, M., et al. (1999) · Leukemia & lymphoma/Leukemia and lymphoma · doi:10.3109/10428199909145746 · Cited by 24 · see citing works
A Case of Primary Bilateral Adrenal Lymphoma (PAL) with Central Nervous System (CNS) Involvement
Hahn, J. S., Choi, H. S., Suh, C., et al. (2002) · Yonsei Medical Journal · doi:10.3349/ymj.2002.43.3.385 · Cited by 23 · see citing works
Angiotropic large-cell lymphoma in a patient with adrenal insufficiency.
Prayson, R. A., Segal, G. H., Stoler, M. H., et al. (1991) · PubMed · Cited by 23 · see citing works
Addison's disease due to metastases to the adrenal glands
Mor, F., Lahav, M., Kipper, E., & Wysenbeek, A. J. (1985) · Postgraduate Medical Journal · doi:10.1136/pgmj.61.717.637 · Cited by 22 · see citing works
Ultrasonic findings in "primary" lymphoma of the adrenal area.
Cunningham, J. J. (1983) · Journal of Ultrasound in Medicine · doi:10.7863/jum.1983.2.10.467 · Cited by 21 · see citing works
Udelsman, R., & Dong, H. Y. (2000) · New England Journal of Medicine · doi:10.1056/nejm200011163432008 · Cited by 20 · see citing works
PRIMARY ADRENAL LYMPHOMA. Report of an Autopsy Case
Abe, J., Kaneko, H., Takagi, A., et al. (1988) · Acta Pathologica Japonica · doi:10.1111/j.1440-1827.1988.tb02364.x · Cited by 19 · see citing works
Bilateral adrenal lymphoma presenting as Addison's disease and hypercalcaemia.
Oppong, F. C., Brodribb, A. J., Hunt, A., et al. (1991) · PubMed · Cited by 16 · see citing works
Utsunomiya, M., Takatera, H., Itoh, H., et al. (1992) · PubMed · Cited by 15 · see citing works
Primary adrenal lymphoma with choroidal metastases
Schocket, L. S., Syed, N. A., & Fine, S. L. (2002) · American Journal of Ophthalmology · doi:10.1016/s0002-9394(02)01681-1 · Cited by 15 · see citing works
Lymphoma presenting with Addison's disease
Gunn, J., Cuthbert, R. J. G., & Trueman, A. (1992) · Postgraduate Medical Journal · doi:10.1136/pgmj.68.797.229 · Cited by 15 · see citing works
López, E. B., Piédrola, G., & Villalon, L. (1995) · Postgraduate Medical Journal · doi:10.1136/pgmj.71.839.567 · Cited by 15 · see citing works
Adrenal lymphoma and Addison's disease: report of a case.
Lu, J.-Y., Chang, C.-C., & Chang, Y. (2002) · PubMed · Cited by 13 · see citing works
Sone, H., Okuda, Y., Nakamura, Y., et al. (1996) · Hormone and Metabolic Research · doi:10.1055/s-2007-979141 · Cited by 13 · see citing works
Successful treatment of primary adrenal insufficiency due to malignant non-Hodgkin's lymphoma
Dobnig, H., Sill, H., �hlinger, W., Neubauer, M., Leb, G., & Krejs, G. J. (1992) · Journal of Molecular Medicine · doi:10.1007/bf00180443 · Cited by 12 · see citing works
Non‐functioning Tumours of the Adrenal Cortex
Chang, S., Lee, S. S., Ma, C., & Lee, S.-K. (1989) · British Journal of Urology · doi:10.1111/j.1464-410x.1989.tb05936.x · Cited by 12 · see citing works
[Bilateral primary adrenal lymphoma].
Bakkali, H., Omari-Alaoui, H. E., Elghazi, E. A., et al. (2002) · PubMed · Cited by 11 · see citing works
Lymphome primitif de la surrénale de phénotype B, diagnostiqué à la ponction—biopsie percutanée
Dahami, Z., Debbagh, A., Dakir, M., et al. (2001) · Annales d Urologie · doi:10.1016/s0003-4401(01)80006-1 · Cited by 9 · see citing works
Localized Non-Hodgkin's Lymphoma of the Adrenal and Thyroid Glands.
Başkal, N., Erdoğan, G., KAMEL, A. N., et al. (1992) · Endocrinologia Japonica · doi:10.1507/endocrj1954.39.269 · Cited by 9 · see citing works
Abnormal humoral immune response to mucosal antigenic stimulation in patients with lung cancer
Michils, A., Yernault, J. C., Noel, E., Gossart, B., Servais, G., & Duchateau, J. (1992) · Cancer · doi:10.1002/1097-0142(19920501)69:9 · Cited by 8 · see citing works
CD30-positive lymphoma involving primarily the adrenal glands
Liang, R. H. S., & Loke, S. L. (1991) · Annals of Oncology · doi:10.1093/oxfordjournals.annonc.a057822 · Cited by 8 · see citing works
[Bilateral and primary lymphosarcoma of the adrenal glands].
Aron, E., Jobard, P., Groussin, P., et al. (1971) · PubMed · Cited by 6 · see citing works
Functioning tumors of the adrenal cortex.
Ll, T., & Wb, G. (1957) · PubMed · Cited by 5 · see citing works
[A case of bilateral adrenal non-Hodgkin lymphoma].
Ito, Y., Yamaha, M., Koide, T., et al. (1988) · PubMed · Cited by 5 · see citing works
[Adrenal gland lymphoma accompanied by renal cell carcinoma].
Uehara, E., Tasaka, T., Matsuhashi, Y., et al. (2001) · PubMed · Cited by 4 · see citing works
Matsuda, T., Okihama, Y., Egami, K., et al. (2001) · Surgery Today · doi:10.1007/s005950170223 · Cited by 3 · see citing works
NON‐HODGKIN'S LYMPHOMA AS A CAUSE OF HYPOADRENALISM
Chung, H.-T., Wong, K., Liang, R. H. S., et al. (1987) · Australian and New Zealand Journal of Medicine · doi:10.1111/j.1445-5994.1987.tb01271.x · Cited by 3 · see citing works
CT of Primary Bilateral Adrenal Lymphoma: A Case Report
Chan, C., Lim, K.-E., Hsu, Y., et al. (2001) · Cited by 2 · see citing works
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Sherlock, M., Scarsbrook, A., Abbas, A., Fraser, S., Limumpornpetch, P., Dineen, R., & Stewart, P. M. (2020) · Endocrine Reviews · doi:10.1210/endrev/bnaa008 · Cited by 347 · see citing works
“Conversely primary adrenal lymphoma is much rarer accounting for 1% of all cases of non-Hodgkin lymphoma (183).”
Background
- Authors
- Singh, D., Kumar, L., Sharma, A., Vijayaraghavan, M., Thulkar, S., & Tandon, N.
- Affiliations
- DR. B.R.A. Institute Rotary Cancer Hospital (IN)
- Corresponding author
- Singh, Devinder
- Venue
- Leukemia & Lymphoma
- Publisher
- Informa UK Limited
- Published
- 2004-04
- Volume
- 45
- Issue
- 4
- Pages
- 789-794
- ISSN
- 1026-8022 (ISSN-L)
- 1042-8194
- 1029-2403
- OpenAlex
- W2123608504
- Cited by
- 61
- References
- 57
- Citations by year
- 2026: 1 · 2024: 1 · 2023: 2 · 2022: 2 · 2021: 1 · 2020: 1 · 2019: 3 · 2018: 3 · 2017: 3 · 2016: 2 · 2015: 4 · 2014: 6 · 2013: 4 · 2012: 5
- FWCI
- 0.66
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Leukemia & lymphoma/Leukemia and lymphoma (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Lymphoma Diagnosis and Treatment
- Health Sciences › Medicine › Neurology › CNS Lymphoma Diagnosis and Treatment
- Health Sciences › Medicine › Oncology › Viral-associated cancers and disorders
- Keywords
- adrenal lymphoma, extranodal lymphoma, bilateral adrenal involvement, diffuse large cell lymphoma, B-cell immunophenotype, adrenal insufficiency, chemotherapy, radiotherapy, survival
- MeSH terms
- Adrenal Gland Neoplasms, Adult, Antineoplastic Combined Chemotherapy Protocols, Biopsy, Female, Humans, Lymphoma, Non-Hodgkin, Male, Middle Aged, Tomography, X-Ray Computed, Salvage Therapy, Treatment Outcome
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