Small round tumour cells (CD38, CD 79a positive) in the adrenal gland

The incidence of primary adrenal lymphoma is a very rare. Primary adrenal lymphoma is usually suspected in a patient with bilateral adrenal masses, with/without lymphadenopathy and with/without any signs of adrenal insufficiency.1,2 The most common symptom observed in nearly 70% patients is presence of bilateral adrenal mass. Nearly 50% of the patients present with syndrome of adrenal insufficiency. However histologically most of the cases reported in literature are of large B-cell type; centroblastic or immunoblastic.3 We here report an interesting case of primary adrenal lymphoma which on subsequent histological examination was found to be infiltrating the pancreas.