XXXX and @entity5343 : report of a case.

@entity1 @entity390 @entity353 @entity706 @entity14705 @entity5 @entity4 @entity1887 @entity448 @entity5343 @entity134 @entity1892 @entity701 @entity195 @entity221
@entity5343 due to @entity706 usually manifests as bilateral adrenal enlargement. We report a @entity1 with @entity195 in whom the initial overt primary @entity1887 was accompanied by an only slightly enlarged right adrenal gland. The 80-year-old @entity1 presented with @entity390 , @entity448 , @entity353 , and @entity14705 . @entity5343 was diagnosed based on this clinical presentation and laboratory findings of low @entity701 and high adrenocorticotropin levels. Computerized tomography (CT) of the adrenal glands revealed a small right @entity5 . His family refused to allow percutaneous or surgical biopsy to determine the nature of the @entity5 . His general condition improved after @entity134 supplementation. However, about 1 year later, dizziness, @entity221 , night sweats, and @entity4 of the lower legs developed, and adrenal CT scanning revealed that the left adrenal gland had enlarged and now exceeded the size of the right one. Left adrenalectomy was performed and pathology showed a diffuse large @entity1892 . Staging work-up using whole-body CT scanning suggested a stage @entity706 . Chemotherapy was given, but the disease still progressed and the @entity1 died 4 months after diagnosis. Primary @entity706 should be considered in the differential diagnosis of @entity5343 , even if only slight enlargement of the adrenal glands is found initially.
