Primary adrenal lymphoma infiltrating into pancreas: A rare cause of adrenomegaly

Abstract

Lovelesh Kumar Nigam, Kamal V. Kanodia, Aruna V. Vanikar, Rashmi D. Patel, Kamlesh S. Suthar, Syed J. Rizvi

Primary adrenal lymphoma is a rare entity and may be suspected in patients having bilateral adrenal masses, with/without lymphadenopathy, and with/without adrenal insufficiency. We report a rare case of a 45-yearold man who presented with pain in the abdomen, with no signs of adrenal insufficiency and bilateral adrenal masses on imaging. Light microscopy findings with immunohistochemistry and flow cytometry confirmed the diagnosis of diffuse large B-cell lymphoma. The patient was offered cyclophosphamide, adriamycin, vincristine, and prednisolone chemotherapy regimen and doing well till the last follow-up.