Magnetic Resonance Imaging-negative, Rituximab-resistant Neurolymphomatosis as a Paradoxical Presentation of Relapsed Primary Adrenal Lymphoma
العنوان: | Magnetic Resonance Imaging-negative, Rituximab-resistant Neurolymphomatosis as a Paradoxical Presentation of Relapsed Primary Adrenal Lymphoma |
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المؤلفون: | Fumihiro Kawakami, Fumihiro Ishida, Sayaka Nishina, Toru Kawakami, Takeshi Uehara, Mayuka Nishikawara, Hitoshi Sakai, Hideyuki Nakazawa |
المصدر: | Internal Medicine |
بيانات النشر: | Japanese Society of Internal Medicine, 2020. |
سنة النشر: | 2020 |
مصطلحات موضوعية: | Male, Pathology, medicine.medical_specialty, medicine.medical_treatment, Central nervous system, diffuse large B-cell lymphoma, Adrenal Gland Neoplasms, Case Report, Neurolymphomatosis, 030204 cardiovascular system & hematology, 03 medical and health sciences, Antineoplastic Agents, Immunological, Fatal Outcome, 0302 clinical medicine, Primary aldosteronism, Internal Medicine, medicine, Humans, Aged, Chemotherapy, medicine.diagnostic_test, business.industry, primary adrenal lymphoma, Magnetic resonance imaging, General Medicine, medicine.disease, Magnetic Resonance Imaging, humanities, Lymphoma, Peripheral, medicine.anatomical_structure, 030211 gastroenterology & hepatology, Rituximab, Lymphoma, Large B-Cell, Diffuse, Neoplasm Recurrence, Local, business, Diffuse large B-cell lymphoma, medicine.drug |
الوصف: | Primary adrenal lymphoma (PAL) is rare and known to have a predilection for central nervous system (CNS) relapse. A 70-year-old man with a 2-year history of primary aldosteronism presented because of a fever. He was hypotensive, and his adrenal glands were unequivocally enlarged. PAL was diagnosed. Despite showing an initial response to immunochemotherapy, progressive paralysis ensued. Magnetic resonance imaging findings were negative, and rituximab was ineffective. His debilitated condition hindered further chemotherapy. A postmortem examination revealed lymphoma relapse in the systemic peripheral nerves. The sequential presentation of two rare lymphomas implies that PAL might have a predilection for not only the CNS but also peripheral nerves. |
تدمد: | 1349-7235 0918-2918 |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::9a316a1fc853519fa2010457970f5350 https://doi.org/10.2169/internalmedicine.4085-19 |
حقوق: | OPEN |
رقم الأكسشن: | edsair.doi.dedup.....9a316a1fc853519fa2010457970f5350 |
قاعدة البيانات: | OpenAIRE |
تدمد: | 13497235 09182918 |
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