Annals of Hematology

, Volume 83, Issue 7, pp 460–463 | Cite as

Primary adrenal lymphoma presenting as Addison’s disease: case report and review of the literature

  • George Mantzios
  • Panagiotis Tsirigotis
  • Filio Veliou
  • Iosif Boutsikakis
  • Lillian Petraki
  • John Kolovos
  • Sotirios Papageorgiou
  • Yannis Robos
Case Report


Primary adrenal lymphoma (PAL) is an extremely rare entity and adrenal insufficiency is a common complication. Bilateral enlargement of adrenal glands should raise the suspicion of lymphoma, especially in patients with clinical or laboratory features of adrenal insufficiency. Most of these cases are highly aggressive tumors and should be treated with multiagent chemotherapy. The role of bilateral adrenalectomy and/or radiotherapy cannot be estimated. Our patient with PAL was an 80-year-old man who presented with clinical and laboratory features of adrenal insufficiency. Combination chemotherapy plus rituximab was unsuccessful and our patient died from progressive disease.


Adrenal lymphoma Addison’s disease Extranodal lymphoma 


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Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • George Mantzios
    • 1
  • Panagiotis Tsirigotis
    • 1
  • Filio Veliou
    • 1
  • Iosif Boutsikakis
    • 2
  • Lillian Petraki
    • 3
  • John Kolovos
    • 4
  • Sotirios Papageorgiou
    • 1
  • Yannis Robos
    • 1
  1. 1.Hematology DepartmentMetropolitan HospitalPiraeusGreece
  2. 2.Internal Medicine DepartmentMetropolitan HospitalPiraeusGreece
  3. 3.Histopathology DepartmentMetropolitan HospitalPiraeusGreece
  4. 4.Radiology DepartmentMetropolitan HospitalPiraeusGreece

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