title: [A rare form of adrenal tuberculosis presenting as an asymptomatic adrenal mass].
abstract: The authors report a case of adrenal tuberculosis discovered during staging of a biopsy-confirmed bladder tumour, in a 70-year-old patient consulting for haematuria. Cystoscopy with biopsy revealed a high-grade papillary urothelial carcinoma invading the detrusor. Staging abdominopelvic computed tomography revealed a necrotic, multilobed right adrenal mass. Histological examination of the adrenalectomy specimen revealed adrenal tuberculosis. Antituberculous therapy was administered for 9 months and comprised streptomycin, isoniazid, rifampicin and pyrazinamide for 2 months, followed by rifampicin and isoniazid for 7 months. In the light of this case and with the increasing incidence of AIDS, the diagnosis of adrenal tuberculosis must be considered in any case of incidentaloma.
authors.affiliation: Service d'Urologie B, CHU Ibn Rochd, Casablanca, Maroc.
authors.forename: Ismail
authors.initials: I
authors.lastname: Sarf
authors.forename: Amine
authors.initials: A
authors.lastname: el Mejjad
authors.forename: Latifa
authors.initials: L
authors.lastname: Badre
authors.forename: Mohamed
authors.initials: M
authors.lastname: Dakir
authors.forename: Rachid
authors.initials: R
authors.lastname: Aboutaieb
authors.forename: Fethi
authors.initials: F
authors.lastname: Meziane
mesh_terms: D000307:Adrenal Gland Diseases / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology*; D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D014057:Tomography, X-Ray Computed; D014376:Tuberculosis / Q000175:diagnosis* / Q000188:drug therapy; D001749:Urinary Bladder Neoplasms / Q000473:pathology*
chemical_list: D000995:Antitubercular Agents
vernacular_title: Une forme rare de tuberculose surrénalienne: masse surrénalienne asymptomatique.