PMC4857720_01
CT findings: 5x4 cm right adrenal mass and 10x8.4x7.4 cm left adrenal mass with minimal surrounding inflammation.
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F0001
In the emergency department, due to the change in mental status, the patient received CT scans of the brain and chest which were normal, but CT of the abdomen revealed a 1.5x4 cm right adrenal mass and a 10x8.4x7.4 cm heterogeneous left adrenal mass with no other positive findings in pelvis (Fig. 1).
Pathology report high-power view - positive for neoplastic lymphoma cells. High volume of lymphocytes showing high nuclear-cytoplasmic ratios (arrow).
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F0002
Flow cytometry showed mixed phenotype and immature monocyte population A left adrenal mass core biopsy was reported as large B-cell lymphoma with non-germinal center and diffuses reactivity for CD20 and for CD43 (Figs. 2 and 3).
Pathology report: Large B-cell lymphoma non-germinal center type. Neoplastic cells show diffuse reactivity for CD20 and for CD43. Background T cells are reactive for CD3. No reactivity for pan-cytokeratin, CD56, S-100 protein, chromogranin, synaptophysin, or TTF-1.
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F0003
Flow cytometry showed mixed phenotype and immature monocyte population A left adrenal mass core biopsy was reported as large B-cell lymphoma with non-germinal center and diffuses reactivity for CD20 and for CD43 (Figs. 2 and 3).