[A rare form of adrenal tuberculosis presenting as an asymptomatic adrenal mass].
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.
Sarf
Ismail
I
Service d'Urologie B, CHU Ibn Rochd, Casablanca, Maroc.
el Mejjad
Amine
A
Badre
Latifa
L
Dakir
Mohamed
M
Aboutaieb
Rachid
R
Meziane
Fethi
F
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*
D000995:Antitubercular Agents
Une forme rare de tuberculose surrénalienne: masse surrénalienne asymptomatique.