Evidence map›Paper›PMID 42842154›Full record

ArticleEndocrine2026

Clinical characteristics of 28 cases of primary adrenal lymphoma.

Lulu Ma, Kaiming Ma, Xi Chen, Shuqi Li, Wenxun Wu

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Article in Endocrine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Lulu MaDepartment of Endocrinology and Metabolism, The First Affiliated Hospital of Zhengzhou University, Henan, China.
Kaiming MaDepartment of Neurosurgery, Peking University Third Hospital, Beijing, China.
Xi ChenDepartment of Endocrinology and Metabolism, The First Affiliated Hospital of Zhengzhou University, Henan, China.
Shuqi LiDepartment of Endocrinology and Metabolism, The First Affiliated Hospital of Zhengzhou University, Henan, China.
Wenxun WuDepartment of Endocrinology and Metabolism, The First Affiliated Hospital of Zhengzhou University, Henan, China. fccwuwx@zzu.edu.cn.ORCID http://orcid.org/0009-0008-1429-8270

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to systematically characterize clinical manifestations, diagnostic findings (including imaging, endocrine laboratory evaluation, and histopathology), and clinical outcomes among patients with primary adrenal lymphoma (PAL), to refine diagnostic strategies and clinical management for this rare endocrine neoplasm.

methodsThis retrospective cohort study recruited 28 patients diagnosed with primary adrenal diffuse large B-cell lymphoma (DLBCL) at the First Affiliated Hospital of Zhengzhou University between April 2013 and December 2024. All baseline characteristics were systematically analyzed.

resultsTwenty-eight patients were enrolled in this cohort, with a median age of 62 years; 18 patients (64%) were male. Clinical manifestations were heterogeneous, with weight loss being the most common symptom, followed by lumbar or abdominal pain and anorexia. Bilateral adrenal masses were detected in 18 of the 28 participants, and tumor diameter exceeded 4 cm in 21 cases. Morning serum adrenocorticotropin (ACTH) and cortisol concentrations were measured in 19 patients. Seven individuals displayed normal ACTH and cortisol profiles, while 6 presented with early primary adrenal insufficiency (PAI). All 28 subjects underwent adrenal pathological testing, confirming DLBCL as the definitive histological subtype. Twenty-five patients received chemotherapy.

conclusionsIn conclusion, PAL predominantly affects elderly male patients, who often present with bilateral adrenal masses, weight loss, and early PAI. Our cohort demonstrates substantial interindividual heterogeneity in endocrine phenotypes. High clinical suspicion and prompt adrenal biopsy are therefore vital to facilitate early intervention and optimize patient outcomes.

Indexed as

Adrenal Gland NeoplasmsLymphoma, Large B-Cell, DiffuseAdrenocorticotropic HormoneAdultAgedAged, 80 and overFemaleHumansHydrocortisoneMaleMiddle AgedRetrospective StudiesWeight LossAdrenocorticotropic HormoneHydrocortisoneAdrenal insufficiencyAdrenal massDiffuse large B-cell lymphomaPrimary adrenal lymphoma

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.