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Hooshyari A, Tyson M, Rice M. Paraganglioma (pheochromocytoma) of the urinary bladder: A systematic review with a diagnostic, management and treatment algorithm. JOURNAL OF CLINICAL UROLOGY 2022. [DOI: 10.1177/20514158221090329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Introduction: Paraganglioma of the urinary bladder is a rare but well-documented tumour. Herein, we provide the largest, comprehensive systematic review of the literature and aim to increase familiarity with this rare but significant neoplasm. Methods: A systematic review of the literature was conducted on the NCBI PubMed database. The search criteria were not limited to any specific years or languages. There were 418 articles between January 1953 and August 2020, of which 255 case reports were selected. Results: Paragangliomas of the urinary bladder most commonly occurred in Caucasians in the fifth decade of life, most commonly presenting with haematuria and variations of ‘micturition attacks’. Eighty percent of tumours were functionally active. The mucosa was normal in 91% of patients. In all, 25% of tumours were treated with transurethral resection alone, 65% had partial cystectomy and 5% had radical cystectomy. Alpha-blockers were administered pre-operatively in 38% of patients and the risk of intra-operative hypertensive crisis was over three times greater in those who did not receive an alpha-blocker. The tumour was confined to the bladder in 75% of cases. Metastasis occurred in 20% of cases, most commonly to iliac nodes. The mean follow-up time was 26.5 months. In cases that documented follow-up, 18.6% had recurrence, most commonly in lymph nodes and bone. Conclusion: All patients presenting with micturition attacks or haematuria with a computed tomography showing an enhancing, well-defined submucosal bladder lesion and/or cystoscopy showing a lesion with normal overlying mucosa should be worked up for a possible paraganglioma of the urinary bladder. Level of evidence: Not applicable
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Affiliation(s)
- Ali Hooshyari
- Urology Department, Auckland City Hospital, Auckland District Health Board, New Zealand
| | - Matthew Tyson
- Urology Department, Auckland City Hospital, Auckland District Health Board, New Zealand
| | - Michael Rice
- Urology Department, Auckland City Hospital, Auckland District Health Board, New Zealand
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Matsuzawa N, Nishikawa T, Ohno R, Inoue M, Nishimura Y, Okamoto T, Shimizu T, Shinagawa T, Nishizawa Y, Kazama S. Paraganglioma of the urinary bladder initially diagnosed as gastrointestinal stromal tumor requiring combined resection of the rectum: a case report. World J Surg Oncol 2022; 20:185. [PMID: 35676716 PMCID: PMC9178902 DOI: 10.1186/s12957-022-02662-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2022] [Accepted: 05/28/2022] [Indexed: 11/25/2022] Open
Abstract
Background Paraganglioma of the urinary bladder (Pub) is rare and presents with clinical symptoms caused by catecholamine production and release. The typical symptoms of Pub are hypertension, macroscopic hematuria, and a hypertensive crisis during micturition. The average size of detected Pubs is approximately 3 cm. Herein, we report a case of a large Pub in which the symptoms were masked by oral medication, precise preoperative diagnosis was difficult, and intraoperative confirmation of tumoral adhesion to the rectum resulted in hypertensive attacks during surgery. Case presentation A 64-year-old Japanese male with a history of hypertension and arrhythmia controlled with oral medication presented with a large tumor in the pelvic region, detected on examination for weight loss, with no clinical symptoms. Computed tomography and magnetic resonance imaging revealed a tumor measuring 77 mm in diameter in the posterior wall of the urinary bladder. The border with the rectum was unclear, and the tumor showed heterogeneous enhancement in the solid part with an enhancing hypodense lesion. Cystoscopy revealed compression of the bladder trigone by external masses; however, no tumor was visible in the lumen. Endoscopic ultrasonography-guided fine-needle aspiration revealed CD34-positive spindle-shaped cells in the fibrous tissue, suggestive of a mesenchymal neoplasm. The tumor was suspected to be a gastrointestinal stromal tumor, and surgery was performed. After laparotomy, we suspected that the tumor had invaded the rectum, and total cystectomy and anterior resection of the rectum were performed. Histologically, the tumor cells had granular or clear amphophilic cytoplasm with an oval nucleus and nests of cells delimited by connective tissue and vascular septations. Immunohistochemically, the tumor was positive for chromogranin A, CD56, and synaptophysin, and a diagnosis of paraganglioma of the urinary bladder was confirmed. There was no tumor recurrence at the 7-month follow-up. Conclusion This case highlights the importance of careful examination of pelvic tumors, including endocrine testing, for detecting paraganglioma of the urinary bladder in patients with a history of hypertension or arrhythmia.
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Affiliation(s)
- Natsumi Matsuzawa
- Department of Gastroenterological Surgery, Saitama Cancer Center, Saitama, 362-0806, Japan.
| | - Takeshi Nishikawa
- Department of Gastroenterological Surgery, Saitama Cancer Center, Saitama, 362-0806, Japan
| | - Riki Ohno
- Department of Gastroenterological Surgery, Saitama Cancer Center, Saitama, 362-0806, Japan
| | - Masaharu Inoue
- Department of Urology, Saitama Cancer Center, Saitama, Japan
| | - Yu Nishimura
- Department of Pathology, Saitama Cancer Center, Saitama, Japan
| | - Tomomi Okamoto
- Department of Gastroenterological Surgery, Saitama Cancer Center, Saitama, 362-0806, Japan
| | - Takao Shimizu
- Department of Gastroenterological Surgery, Saitama Cancer Center, Saitama, 362-0806, Japan
| | - Takahide Shinagawa
- Department of Gastroenterological Surgery, Saitama Cancer Center, Saitama, 362-0806, Japan
| | - Yusuke Nishizawa
- Department of Gastroenterological Surgery, Saitama Cancer Center, Saitama, 362-0806, Japan
| | - Shinsuke Kazama
- Department of Gastroenterological Surgery, Saitama Cancer Center, Saitama, 362-0806, Japan
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Urabe F, Miki J, Kimura T, Hisakane A, Iwatani K, Takahashi K, Yanagisawa T, Takahashi H, Kishimoto K, Egawa S. Combination of en bloc transurethral resection with laparoscopic partial cystectomy for paraganglioma of the bladder. IJU Case Rep 2019; 2:283-286. [PMID: 32743438 PMCID: PMC7292116 DOI: 10.1002/iju5.12102] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2019] [Accepted: 06/18/2019] [Indexed: 12/23/2022] Open
Abstract
INTRODUCTION Paraganglioma of the bladder is an extremely rare tumor, and special attention should be paid to elevation of blood pressure during tumor resection. CASE PRESENTATION A 64-year-old woman presented with elevation of blood pressure during thoracic surgery. Multiparametric magnetic resonance imaging revealed a bladder tumor, and noradrenalin levels were elevated in plasma and urine. The tumor was surgically removed by en bloc transurethral resection with laparoscopic partial cystectomy of bladder tumor. The margin of the tumor was easily identified, and perioperative blood pressure was stable. There was no evidence of residual tumor, local recurrence, or distant metastasis during 2-year follow-up. CONCLUSION To our knowledge, we report the first case of paraganglioma of the bladder resected by a minimally invasive and safe procedure: combination of en bloc transurethral resection and laparoscopic partial cystectomy.
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Affiliation(s)
- Fumihiko Urabe
- Department of UrologyThe Jikei University Kashiwa HospitalKashiwaChibaJapan
- Department of UrologyThe Jikei University School of MedicineMinato‐kuTokyoJapan
| | - Jun Miki
- Department of UrologyThe Jikei University Kashiwa HospitalKashiwaChibaJapan
| | - Takahiro Kimura
- Department of UrologyThe Jikei University School of MedicineMinato‐kuTokyoJapan
| | - Akira Hisakane
- Department of UrologyThe Jikei University Kashiwa HospitalKashiwaChibaJapan
| | - Kosuke Iwatani
- Department of UrologyThe Jikei University Kashiwa HospitalKashiwaChibaJapan
| | - Kazuhiro Takahashi
- Department of UrologyThe Jikei University Kashiwa HospitalKashiwaChibaJapan
| | | | - Hiroyuki Takahashi
- Department of PathologyThe Jikei University School of MedicineMinato‐kuTokyoJapan
| | - Koichi Kishimoto
- Department of UrologyThe Jikei University Kashiwa HospitalKashiwaChibaJapan
| | - Shin Egawa
- Department of UrologyThe Jikei University School of MedicineMinato‐kuTokyoJapan
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You D, Ren R, Chen E, Chen S, Wang D, Liu J. Radiotherapy for urinary bladder pheochromocytoma with invasion of the prostate: A case report and literature review. Mol Clin Oncol 2016; 4:1060-1062. [PMID: 27313863 DOI: 10.3892/mco.2016.820] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2015] [Accepted: 03/03/2016] [Indexed: 11/05/2022] Open
Abstract
Malignant pheochromocytoma is a rare tumor, for which there is currently no effective therapy. Cytoreductive surgery is recommended to reduce tumor burden and relieve the symptoms of catecholamine excess, although complete eradication of the lesions is often not feasible. In patients with advanced disease, for whom surgical resection is not an option, systemic chemotherapy, radiotherapy and treatment with iodine-131-meta-iodobenzylguanidine may be used to achieve symptomatic relief. Although malignant pheochromocytoma is considered to be unresponsive to radiotherapy, a limited number of case reports, although not large patient samples, have been published on the effectiveness of radiotherapy for the treatment of this disease. This is the case report of a 23-year-old male patient with bladder pheochromocytoma invading the prostate, who refused to undergo surgery. The tumor shrank following radiotherapy and had not increased in size 1.5 years after treatment. Similarly, the blood pressure of the patient remained within normal limits without antihypertensive medication; the levels of catecholamines and their metabolites also remained normal. Our case demonstrated that radiotherapy was effective for malignant pheochromocytoma to a certain extent and, therefore, it may be selected when surgery is not feasible.
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Affiliation(s)
- Dong You
- Department of Radiotherapy, Yantai Yuhuangding Hospital Affiliated to Qingdao University, Yantai, Shandong 264000, P.R. China
| | - Ruizhen Ren
- Department of Endocrinology, Yantai Yuhuangding Hospital Affiliated to Qingdao University, Yantai, Shandong 264000, P.R. China
| | - Ercheng Chen
- Department of Radiotherapy, Yantai Yuhuangding Hospital Affiliated to Qingdao University, Yantai, Shandong 264000, P.R. China
| | - Shulin Chen
- Department of Endocrinology, Yantai Yuhuangding Hospital Affiliated to Qingdao University, Yantai, Shandong 264000, P.R. China
| | - Dawei Wang
- Department of Radiotherapy, Yantai Yuhuangding Hospital Affiliated to Qingdao University, Yantai, Shandong 264000, P.R. China
| | - Jianhui Liu
- Department of Radiotherapy, Yantai Yuhuangding Hospital Affiliated to Qingdao University, Yantai, Shandong 264000, P.R. China
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Henderson SJ, Kearns PJ, Tong CMC, Reddy M, Khurgin J, Bickell M, Miick R, Ginsberg P, Metro MJ. Patients With Urinary Bladder Paragangliomas: A Compiled Case Series From a Literature Review for Clinical Management. Urology 2015; 85:e25-9. [DOI: 10.1016/j.urology.2014.11.006] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2014] [Revised: 10/02/2014] [Accepted: 11/11/2014] [Indexed: 10/24/2022]
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Abstract
Extra-adrenal paragangliomas of the urinary bladder are rare. Typically, patients present with symptoms related to catecholamine hypersecretion or mass effect, but these tumors can also be encountered incidentally on imaging studies obtained for a different purpose. It is important to recognize the key imaging features of this entity so that it may be suggested as a possible differential diagnosis in the setting of a newly identified bladder mass.
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Li Y, Guo A, Tang J, Li Q, Fei X, Zhang Y, Gao J. Evaluation of sonographic features for patients with urinary bladder paraganglioma: a comparison with patients with urothelial carcinoma. ULTRASOUND IN MEDICINE & BIOLOGY 2014; 40:478-484. [PMID: 24412175 DOI: 10.1016/j.ultrasmedbio.2013.10.014] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/08/2013] [Revised: 10/13/2013] [Accepted: 10/15/2013] [Indexed: 06/03/2023]
Abstract
The goals of the work described here were to analyze the ultrasonographic characteristics of urinary bladder paraganglioma and to evaluate the use of ultrasonography (US) in diagnosis. Ten patients with bladder paraganglioma (3 males, 7 females) and 51 patients with urothelial carcinoma (37 males, 14 females) were enrolled. Ultrasonographic characteristics as well as clinical features were analyzed. Patients with urothelial carcinoma were significantly older than those with paraganglioma (62.9 y vs. 48.1 y, p = 0.001). The patients with paraganglioma had higher average systolic blood pressure than those with urothelial carcinoma (146.7 mm Hg vs. 130.7 mm Hg, p = 0.012). All bladder paragangliomas were solitary, and 40% were located on the dome. There was a statistically significant difference in location of lesions between the bladder paraganglioma and urothelial carcinoma groups (p = 0.014). The longest diameters in 80% of the bladder paragangliomas were in the range 1.1-3.0 cm; 60% were hypoechoic, and 40% were located in the submucosa of the bladder. Color Doppler revealed that 40% of the bladder paragangliomas were highly vascular. One patient with paraganglioma and four patients with urothelial carcinoma underwent contrast-enhanced ultrasound, which revealed rapid contrast enhancement and slow wash-out, with a non-enhanced area. Contrast-enhanced ultrasound of urothelial carcinomas revealed rapid homogeneous enhancement and variable wash-out patterns. Pre-operative ultrasonography detected all neoplasms of the urinary bladder in the 10 patients with pathologically confirmed paraganglioma, but made the correct diagnosis in only 2 cases (20%). Although there is overlap in US findings among different diseases, solitary, submucosal masses arising on the dome may be the key US imaging characteristic for bladder paraganglioma.
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Affiliation(s)
- Yanmi Li
- Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China
| | - Aitao Guo
- Department of Pathology, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China
| | - Jie Tang
- Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China.
| | - Qiuyang Li
- Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China
| | - Xiang Fei
- Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China
| | - Yan Zhang
- Department of Ultrasound, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China
| | - Jiangping Gao
- Department of Urology, Chinese People's Liberation Army General Hospital, Beijing, People's Republic of China
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8
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Beilan JA, Lawton A, Hajdenberg J, Rosser CJ. Pheochromocytoma of the urinary bladder: a systematic review of the contemporary literature. BMC Urol 2013; 13:22. [PMID: 23627260 PMCID: PMC3654956 DOI: 10.1186/1471-2490-13-22] [Citation(s) in RCA: 93] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2012] [Accepted: 04/25/2013] [Indexed: 12/18/2022] Open
Abstract
Background Pheochromocytoma (paraganglioma) of the urinary bladder is a rare tumor. Herein we sought to review the contemporary literature on pheochromocytomas of the urinary bladder in order to further illustrate the presentation, treatment options and outcomes of patients diagnosed with these tumors. Methods A comprehensive review of the current literature was conducted according to the PRISMA guidelines by accessing the NCBI PubMed database and using the search terms “paraganglioma, pheochromocytoma, bladder.” This search resulted in the identification of 186 articles published between January 1980 and April 2012 of which 80 articles were ultimately included in our analysis. Results Pheochromocytomas usually occurred in young adult Caucasians (mean age, 43.3 years; range,11–84 years). According to the literature, the most common symptoms and signs of pheochromocytomas of the urinary bladder were hypertension, headache, and hematuria. Of the 77 cases that commented on catecholamine production, 65 patients had biochemically functional tumors. Approximately 20% of patients were treated by transurethral resection alone, 70% by partial cystectomy and 10% by radical cystectomy. The 75 patients with follow-up information had a mean follow-up of 35 months. At the time of last follow-up, 15 (14.2%) had disease recurrence, 10 (9.4%) had metastasis, and 65 (61.3%) were alive. Conclusions Pheochromocytomas of the urinary bladder tend to be functional and occur mostly in young adult Caucasians. Patients with localized tumors have an extremely favorable prognosis and may be managed by less aggressive modalities, whereas patients with metastatic disease have a significant reduction in survival rates despite aggressive treatment.
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9
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She HL, Chan PH, Cheung SCW. Urinary Bladder Paraganglioma in a Post-Heart Transplant Patient. ANNALS OF THE ACADEMY OF MEDICINE, SINGAPORE 2012. [DOI: 10.47102/annals-acadmedsg.v41n8p362] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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10
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Vyas S, Kalra N, Singh SK, Agarwal MM, Mandal AK, Khandelwal N. Pheochromocytoma of urinary bladder. Indian J Nephrol 2011; 21:198-200. [PMID: 21886982 PMCID: PMC3161440 DOI: 10.4103/0971-4065.78072] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Pheochromocytoma of urinary bladder are rare tumors. They present with nonspecific clinical signs and symptoms, so imaging plays an important role in diagnosing and localizing the tumor. We present two cases of bladder pheochromocytoma, one of them presented with vague abdominal pain and the other with hematuria. Biphasic CT in both the cases showed hypervascular intravesical mass suggestive of bladder pheochromocytoma. The lesions were confirmed biochemically or on postoperative histopathology. A brief review of the imaging in bladder pheochromocytoma is also presented.
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Affiliation(s)
- S Vyas
- Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
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11
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Hassan SAA, Qayyum MA. Quiz Page November 2011. Am J Kidney Dis 2011; 58:xxix-xxxi. [DOI: 10.1053/j.ajkd.2011.06.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/02/2011] [Accepted: 06/13/2011] [Indexed: 11/11/2022]
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12
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Bohn OL, Pardo-Castillo E, Fuertes-Camilo M, Rios-Luna NP, Martinez A, Sanchez-Sosa S. Urinary bladder paraganglioma in childhood: a case report and review of the literature. Pediatr Dev Pathol 2011; 14:327-32. [PMID: 21385006 DOI: 10.2350/10-10-0926-cr.1] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Bladder paraganglioma (BP) is a rare entity and is exceedingly uncommon in childhood. Pheochromocytomas/paragangliomas are components of several hereditary cancer syndromes, and up to 30% may be associated with germ-line mutations of genes, including VHL, RET, and SDH. We present a 16-year-old female who was admitted with macroscopic hematuria and anemia. A cystoscopy demonstrated a polypoid and hemorrhagic mass arising from the floor of the bladder. She underwent a transurethral resection of clinically suspected urothelial papilloma. A histologic examination of the tumor showed large polygonal cells with eosinophilic cytoplasm, arranged in a zellballen pattern, surrounded by a fibrous network. Immunohistochemical studies showed a strong expression of neuroendocrine markers and lack of reactivity for epithelial markers. The diagnosis of BP was established; eight months later, a recurrence was observed and the patient underwent a partial cystectomy. Our case represents the 1st BP in childhood reported in the literature with absent SDHB staining by immunohistochemistry. We discuss the clinical and pathologic findings and present a review of BP in childhood.
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Affiliation(s)
- Olga L Bohn
- Department of Pathology, Case Western Reserve University, Cleveland, OH, USA.
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13
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Abstract
This study describes a case of urinary bladder pheochromocytoma that presented with paraneoplastic manifestation of bowel symptoms and thrombocytosis managed with laparoscopic techniques. Pheochromocytoma of the urinary bladder is rare, presenting usually with hypertension, hematuria and syncopal attacks. Such cases have usually been managed with open or laparoscopic partial cystectomy. We present a case of bladder pheochromocytoma that had unusual presenting symptoms, a paraneoplastic manifestation and was successfully managed with robotic technique.
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Affiliation(s)
- Rishi Nayyar
- Department of Urology, All India Institute of Medical Sciences, New Delhi, India
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14
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Oderda M, Michelon F, Appendino M, Gallo M, Senetta R, Pacchioni D, Tizzani A, Gontero P. Primary bladder phaeochromocytoma diagnosed by a vet. ACTA ACUST UNITED AC 2010; 44:186-9. [PMID: 20180653 DOI: 10.3109/00365591003639202] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Bladder phaeochromocytomas are rare neuroendocrine neoplasms whose diagnosis can be missed in spite of their rather suggestive presentation. It is mandatory to collect a thorough medical history and to recognize their typical symptoms. This study reports the case of a woman, treated for hypertensive crisis, who was diagnosed with bladder phaeochromocytoma thanks to a vet noting her fainting after micturition.
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Affiliation(s)
- Marco Oderda
- Department of Urology, University of Turin, Molinette Hospital, Corso Dogliotti 14, Turin, Italy
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Abstract
A 16-year-old girl came to our emergency department because of severe headache. For the past 3 years, she had presented at several emergency departments with a similar problem. When she was hospitalized for further investigation, she developed severe arterial hypertension for which an unusual cause was found by imaging of the abdomen.
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Affiliation(s)
- Fu-Chi Yang
- Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, No. 325, Section 2, Cheng-Kung Road, Neihu 114, Taipei, Taiwan, Republic of China
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Chevarría J, de Arriba G, Ocaña J, Sánchez-Heras M. Feocromocitoma con consecuencias fatales. ¿Qué podemos aprender de este caso? HIPERTENSION Y RIESGO VASCULAR 2009. [DOI: 10.1016/s1889-1837(09)72177-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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18
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Lee KS, Kim JD, Kim KH, Seo YJ, Lee JI, Lee YS, Kim SW. Paraganglioma of a Bladder with a Bladder Stone. Korean J Urol 2009. [DOI: 10.4111/kju.2009.50.3.296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
Affiliation(s)
- Kyung Seop Lee
- Department of Urology, College of Medicine, Dongguk University, Gyeongju, Korea
| | - Jung Dam Kim
- Department of Urology, College of Medicine, Dongguk University, Gyeongju, Korea
| | - Ki Ho Kim
- Department of Urology, College of Medicine, Dongguk University, Gyeongju, Korea
| | - Young Jin Seo
- Department of Urology, College of Medicine, Dongguk University, Gyeongju, Korea
| | - Jong Im Lee
- Department of Pathology, College of Medicine, Dongguk University, Gyeongju, Korea
| | - Young Sil Lee
- Department of Internal Medicine, College of Medicine, Dongguk University, Gyeongju, Korea
| | - Sung Woo Kim
- Department of Radiology, College of Medicine, Dongguk University, Gyeongju, Korea
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Sharma PK, Sharma P, Saraswat B. Extra adrenal pheochromocytoma of urinary bladder. Indian J Surg 2008; 70:188-91. [PMID: 23133055 DOI: 10.1007/s12262-008-0051-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2007] [Accepted: 05/29/2008] [Indexed: 11/29/2022] Open
Abstract
Pheochromocytoma of urinary bladder is rare disease causing a hypertension, palpitation, throbbing headache & hemorrhage induced by voiding. This case is reported because of rarity of this disease in urinary bladder.
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Affiliation(s)
- Pramod K Sharma
- Department of Urology, Dr. S.N. Medical College & Attached Teaching Hospitals, Jodhpur, 342 003 India
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20
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Mou JWC, Lee KH, Tam YH, Cheung ST, Chan KW, Thakre A. Urinary bladder pheochromocytoma, an extremely rare tumor in children: case report and review of the literature. Pediatr Surg Int 2008; 24:479-80. [PMID: 17828544 DOI: 10.1007/s00383-007-2013-8] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/21/2007] [Indexed: 11/28/2022]
Abstract
We report a case of pheochromocytoma in the urinary bladder of a 14-year-old girl who presented with headache and palpitation after voiding. This is an extremely rare condition in pediatric age group and thus can be missed easily. This case is the seventh case reported in the reviewed literature.
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Affiliation(s)
- J W C Mou
- Division of Paediatric Surgery and Paediatric Urology, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Sha Tin, Hong Kong.
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21
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Liu Y, Dong SG, Dong Z, Mao X, Shi XY. Diagnosis and treatment of pheochromocytoma in urinary bladder. J Zhejiang Univ Sci B 2007; 8:435-8. [PMID: 17565515 PMCID: PMC1879157 DOI: 10.1631/jzus.2007.b0435] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
OBJECTIVE To study the diagnosis and treatment of pheochromocytoma in urinary bladder. METHODS Six cases of bladder pheochromocytoma were studied. Four cases showed hypertension, 3 of which were paroxysmal hypertension during urination. Catecholamine (CA) was increased in a case, and vanillymandelic acid (VMA) was increased in 2 cases. Bladder submucosal mass was detected by B-ultrasound in 5 cases (5/5), computerized tomography (CT) in 3 cases (3/3), cystoscopy in 5 cases (5/6). Four cases took alpha-receptor blocker for 2 weeks, 1 case took beta-receptor blocker to decrease heart rate. All patients were treated with surgical operation including 4 partial cystectomies, 2 excavations. RESULTS Three cases had manifestations including headache, excessive perspiration and hypertension during cystoscopy. Four cases were confirmed before operation. Two cases showed hypertension during operation. All patients were pathologically diagnosed as pheochromocytoma postoperatively. In five cases followed up, blood pressure returned to normal. No patient had relapse and malignancy. CONCLUSIONS Typical hypertension during urination comprised the main symptoms. We should highly suspect bladder pheochromocytoma if a submucosal mass was discovered with B-ultrasound, CT, (131)I-MIBG (methyliodobenzylguanidine) and cystoscopy. The determination of CA in urine is valuable for qualitative diagnosis. The preoperative management of controlling blood pressure and expansion of the blood volume are very important. Surgical operation is a good method for effective treatment. Postoperative long-time followed up is necessary.
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