title: [Infiltrating bladder carcinoma and adrenal incidentaloma. Report of one case. Bibliographic review].
abstract: 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.
authors.affiliation: Servicio de Urología, Hospital Universitario Virgen de la Arrixaca, Murcia, España.
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Nicolás Torralba
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Cánovas Ivorra
authors.forename: Pedro
authors.initials: P
authors.lastname: Valdelvira Nadal
authors.forename: Vicente
authors.initials: V
authors.lastname: Bañón Pérez
authors.forename: Gerardo
authors.initials: G
authors.lastname: Server Pastor
authors.forename: Mariano
authors.initials: M
authors.lastname: Pérez Albacete
mesh_terms: 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