Primary Adrenal Lymphoma

Primary adrenal lymphoma is a rare disease entity with only less than 200 cases reported till date. We have seen single case among the 260 in our hospital last 5 years. Review of English literature showed 65 such so far most them being reports. The striking similarity all were – median age 68 years, bilateral involvement 60% and predominantly diffuse large cell histology B immunophenotype. insufficiency was two thirds at diagnosis. About one half respond to treatment survival 4 months. A high index suspicion needed for early diagnosis prompt treatment. herein report 65-year-old male who diagnosed primary lymphoma.