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RESIDENT’S CORNER

Primary Hodgkin lymphoma of the adrenal gland: a unique case presentation

Andrew E. Bourne¹, Stephen W. Bell², Robert O. Wayment¹, Bradley F. Schwartz¹

1 Division of Urology, Southern Illinois University, Springfi eld, Illinois, USA
2 Department of Pathology, Saint John’s Hospital, Springfi eld, Illinois, USA
Address correspondence to Dr. Bradley Schwartz, Center for Laparoscopy and Endourology, SIU School of Medicine, PO Box 19665, Springfi eld, IL 62794-9665 USA

Canadian Journal of Urology 2009, 16(3), 4694-4696.

Abstract

Adrenal “incidentalomas” are commonly found on body imaging, and treatment of these lesions 4 cm-6 cm in size is controversial. Most of these lesions are benign adrenal cortical adenomas. Lymphoma is a rare disease manifestation in the adrenal gland, and the overwhelming majority are metastatic lesions. Hodgkin lymphoma has never been reported as a primary adrenal lesion. We present a very unique case report of a 5 cm adrenal “incidentaloma” that represents the fi rst reported case of primary Hodgkin lymphoma in the adrenal gland.

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