Intravascular large B-cell lymphoma (IVLBCL) is a rare subtype of malignant lymphoma. Although the involvement of adrenal glands in IVLBCL is often observed, primary adrenal IVLBCL is rare. Most reported cases of adrenal IVLBCL showed bilateral lesions resulting in rapidly progressive adrenal failure and poor prognosis. Here, we report a case of slowly progressive primary adrenal IVLBCL manifesting initially with unilateral adrenal incidentaloma. This case is a silent IVLBCL and shows that the enlargement of both adrenal glands can be followed.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3425017PMC
http://dx.doi.org/10.1155/2012/849285DOI Listing

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  • The patient successfully underwent chemotherapy and a stem cell transplant, achieving complete remission for three years, highlighting the need for awareness of IVLBCL in atypical cases, particularly with elevated serum lactate dehydrogenase levels.
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