[Infiltrating bladder carcinoma and adrenal incidentaloma. Report of one case. Bibliographic review].

OBJECTIVES

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.