Primary Adrenal Lymphoma: A Rare Entity

Buch Archana C, Karia Kunjal M, Agrawal Neekita S, Ingale Yamini and Harsh Kumar

Non-Hodgkin’s Lymphoma arising primarily in adrenal gland is an extremely rare variant of extranodal lymphoma. The clinical presentation and the outcome vary depending upon the type of lymphoma and the extent of involvement of the adrenal gland. We report a case of Primary Adrenal Lymphoma (PAL) without adrenal insufficiency in a 62 year old female. The clinical and the routine laboratory evaluation were unremarkable. Serum lactate dehydrogenase was elevated. Computed Tomography of abdomen unveiled right sided heterogeneous adrenal mass extending from D10 vertebra to L2 vertebra. The diagnosis of primary adrenal lymphoma diffuse large B-cell (DLBCL) type was made on biopsy and immunohistochemistry.