Primary adrenal lympho- ma with latent adrenal insufficiency: a case report and review of the literature.

摘要

We report a new case of primary adrenal lymphoma with latent adrenal insufficiency and long-term remission after hydrocortisone repla- cement therapy. We have analyzed 29 other cases described in the literature. This disease with poor prognosis can be revealed by an incidentally dis- covered, frequently bilateral, adrenal mass. Adre- nal insufficiency may be latent and the diagnostic procedure should include both cortisol and ACTH determination with an additional ACTH stimula- tion test if appropriate. Early adrenal substitu- tion ban improve patient survival.