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A 22 year-old F with R adrenal mass discovered on screening ultrasound in 28th week of pregnancy

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57 y/o female presents with hematuria.  Pelvic exam reveals a firm urethral mass. MRI demonstrates a 5cm urethral mass extending from bladder neck to meatus, no nodes, no mets. Chest imaging negative. Transurethral bx =  high-grade adeno ca. 
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