Approach to the patient with primary adrenal lymphoma combined with empty sella

VernacularTitle:原发性肾上腺淋巴瘤并垂体空泡蝶鞍的临诊应对
Author: Tianxue ZHAO ; Lei REN ; Guijun QIN ; Chenzhao DING ; Hao YUE ; Jing LI
Publication Type:Journal Article
Keywords: Primary adrenal lymphoma; Empty sella; Adrenocorticalhypofunction
From: Chinese Journal of Endocrinology and Metabolism 2016;(2):143-145
CountryChina
Language:Chinese
Abstract: [Summary] To discuss the clinical features and treatment of primary adrenal lymphoma( PAL) with empty sella(ES).The lymphoma of the patient was nonspecific,the levels of serum sodium, cortisol, adrenocorticotropic hormone, and gonadotropin were decreased.MRI confirmed ES, CT showed bilateral adrenal enlargement.CT-guided fine-needle aspiration biopsy of the adrenal gland revealed a cytological diagnosis of diffused large B cell lymphoma( DLBCL).The patient had received R-CHOP chemotherapy, which results in a complete functional recovery and the tumoral masses disappeared.PAL combined with ES was rarely reported, which is difficult to diagnose due to complex hormone levels.