[Infiltrating bladder carcinoma and adrenal incidentaloma. Report of one case. Bibliographic review].
OBJECTIVE
We report one case of left adrenal tumor discovered during the study of an infiltrating bladder carcinoma. We discuss the diagnostic and therapeutic implications of the clinical case.


METHODS
Surgical procedure was undertaken with radical cystectomy and Bricker's type urinary diversion, plus adenomectomy by anterior approach.


RESULTS
The pathologic report showed a myelolipoma.


CONCLUSIONS
Most adrenal tumors are benign, mainly if they are small and non-functioning. The protocol of hormonal study should include potassium and catecholamines. Tumors greater than 6 cm and functioning masses are indications for surgery. For oncological patients, surgical approach of the lesion is indicated if there is not evidence of dissemination.
Nicolás Torralba
José Antonio
JA
Servicio de Urología, Hospital Universitario Virgen de la Arrixaca, Murcia, España.
Cánovas Ivorra
José Antonio
JA
Valdelvira Nadal
Pedro
P
Bañón Pérez
Vicente
V
Server Pastor
Gerardo
G
Pérez Albacete
Mariano
M
D000310:Adrenal Gland Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D002295:Carcinoma, Transitional Cell / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D015653:Cystectomy; D005260:Female; D006801:Humans; D033162:Incidental Findings; D008875:Middle Aged; D018209:Myelolipoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D009378:Neoplasms, Multiple Primary / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed; D001749:Urinary Bladder Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014547:Urinary Diversion