Two Cases of Malignant Lymphoma Involving Bilateral Adrenal Glands as Huge Masses / 대한내분비학회지
Journal of Korean Society of Endocrinology
;
: 121-127, 2000.
Artigo
em Coreano
| WPRIM
| ID: wpr-123751
ABSTRACT
Adrenal gland is a common site of metastatic tumors such as breast cancer, lung cancer, and colon cancer. When adrenal mass is found incidentally, adenoma is the most common among single adrenal masses. But in the case of bilateral adrenal masses, infection, bilateral metastases and hemorrhage are common. Secondary involvement of the adrenal gland is found in 25% of autopsy cases of non-Hodgkin's lymphoma. However, adrenal insufficiency is rare because it becomes apparent only when approximately 90% of adrenal cortex is destructed. We exprienced two cases of malignant lymphoma which involved the adrenal glands bilaterally. One case in which adrenal insufficiency was suspicious, was accompanied by hypovolemic shock and sepsis at the initial presentation. He died of sepsis combined with DIC even though hydrocortisone, intravenous saline infusion, and antibiotics therapy were started immediately. The other one was found incidentally, in which adrenal infiltraion was confirmed by CT scan. Hormonal level was normal and adrenal masses disappeared after chemotherapy.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Choque
/
Autopsia
/
Linfoma não Hodgkin
/
Neoplasias da Mama
/
Hidrocortisona
/
Tomografia Computadorizada por Raios X
/
Adenoma
/
Córtex Suprarrenal
/
Insuficiência Adrenal
/
Glândulas Suprarrenais
Idioma:
Coreano
Revista:
Journal of Korean Society of Endocrinology
Ano de publicação:
2000
Tipo de documento:
Artigo
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