A case of primary bilateral adrenal lymphoma (PAL) with central nervous system (CNS) involvement

Jee Sook Hahn, Han Seok Choi, Chang Ok Suh, Woo Jung Lee

Research output: Contribution to journalArticle

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Abstract

Primary adrenal lymphoma (PAL) is a very rare disease and usually does not have disease elsewhere, and if present, it is frequently extranodal. Several cases of PALs, with central nervous system (CNS) involvement, gastrointestinal tract or other endocrine organs involvement, have been reported in Western literature. We experienced a case of PAL with CNS involvement, which was previously unreported in Korea. The patient, a 61 year-old male, was admitted with left abdominal pain. After imaging study and needle aspiration biopsy (NAB), a bilateral primary adrenal lymphoma (large B-cell type), with bilateral hemorrhage, was confirmed. Combination chemotherapy, with CEOP regimen, was used. A follow-up abdomino-pelvic CT scan, after the second CEOP chemotherapy, showed the previous adrenal masses had nearly disappeared. However, about 2 months after diagnosis (day 52), he showed recent memory loss, obtundation, disorientation and drowsy mental status. The brain MRI revealed multifocal scattered lesions with increased signal intensity. The result of a brain biopsy was diffuse large B-cell lymphoma. After 5 1/2 cycles of chemotherapy, with CEOP regimen, and whole brain radiotherapy, he is still surviving 6 months later, and has become alert with nearly normalized cognitive function.

Original languageEnglish
Pages (from-to)385-390
Number of pages6
JournalYonsei medical journal
Volume43
Issue number3
DOIs
Publication statusPublished - 2002 Jan 1

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Lymphoma
Central Nervous System
Needle Biopsy
Brain
Drug Therapy
Confusion
Lymphoma, Large B-Cell, Diffuse
Memory Disorders
B-Cell Lymphoma
Korea
Rare Diseases
Combination Drug Therapy
Cognition
Abdominal Pain
Gastrointestinal Tract
Radiotherapy
Hemorrhage
Biopsy

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Hahn, Jee Sook ; Choi, Han Seok ; Suh, Chang Ok ; Lee, Woo Jung. / A case of primary bilateral adrenal lymphoma (PAL) with central nervous system (CNS) involvement. In: Yonsei medical journal. 2002 ; Vol. 43, No. 3. pp. 385-390.
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A case of primary bilateral adrenal lymphoma (PAL) with central nervous system (CNS) involvement. / Hahn, Jee Sook; Choi, Han Seok; Suh, Chang Ok; Lee, Woo Jung.

In: Yonsei medical journal, Vol. 43, No. 3, 01.01.2002, p. 385-390.

Research output: Contribution to journalArticle

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