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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Bladder Cancer Associated With The Adrenal Mass?

My husband was diagnosed with an adrenal mass of 4cm through an emergency visit for his horrible back pain. A recent Urologist visit a cystoscopy validated a diagnosis of bladder cancer. He is scheduled for a sonogram in a few days. Is the bladder cancer associated with the adrenal mass? I fear that with his symptoms of pain in back and leg that it has spread through out his system - He is a very very heavy pot smoker and alcholic
Mon, 11 May 2015
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Radiologist,  's  Response
Hi,
Thanks for writing in.

The finding of a 4 cm mass in adrenal region is an important entity. In the presence of confirmed urinary bladder cancer, the finding of such a tumor elsewhere should always raise the suspicion of a cancer spread to a distant organ. It is important to do complete investigation concerning the adrenal mass and if required a biopsy confirmation from the adrenal is to be done.

A ultrasound scan should be able to visualize it and if present then a ultrasound guided FNAC is to be done for histopathologcal confirmation. If metastasis to adrenal is confirmed then the cancer becomes stage 4 disease and aggressive treatment is required. Please do not worry.
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Is Bladder Cancer Associated With The Adrenal Mass?

Hi, Thanks for writing in. The finding of a 4 cm mass in adrenal region is an important entity. In the presence of confirmed urinary bladder cancer, the finding of such a tumor elsewhere should always raise the suspicion of a cancer spread to a distant organ. It is important to do complete investigation concerning the adrenal mass and if required a biopsy confirmation from the adrenal is to be done. A ultrasound scan should be able to visualize it and if present then a ultrasound guided FNAC is to be done for histopathologcal confirmation. If metastasis to adrenal is confirmed then the cancer becomes stage 4 disease and aggressive treatment is required. Please do not worry.