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Non-functional paraganglioma of the urinary bladder: a case report.

Xu DF, Chen M, Liu YS, Gao Y, Cui XG - J Med Case Rep (2010)

Bottom Line: A 55-year-old Chinese woman presenting with the sole complaint of lower abdominal pain for one month was admitted to our hospital.Ultrasound and computed tomography revealed a mass on the dome of the bladder measuring 4.0 x 3.0 cm.The tumor was completed removed by laparoscopic partial cystectomy.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Urology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China. charlessmmu@hotmail.com.

ABSTRACT

Introduction: Paragangliomas that originate from the urinary bladder are extremely rare. In most series, bladder paragangliomas often cause micturitional attacks. Treatment modalities include transurethral resection and cystectomy (partial or total). Prognosis of bladder paraganglioma is similar to that of adrenal pheochromocytoma.

Case presentation: A 55-year-old Chinese woman presenting with the sole complaint of lower abdominal pain for one month was admitted to our hospital. Ultrasound and computed tomography revealed a mass on the dome of the bladder measuring 4.0 x 3.0 cm. The tumor was completed removed by laparoscopic partial cystectomy. Histological examination of the tumor indicated paraganglioma of the urinary bladder. The clinical features, diagnosis, management and pathological findings of paraganglioma of the urinary bladder are discussed.

Conclusions: Bladder paraganglioma should be considered as a differential diagnosis to neoplasm in the urinary bladder, although there is no characteristic symptom. Laparoscopic partial cystectomy may be the first choice in treating paraganglioma of the urinary bladder, offering several advantages such as less invasion, rapid recovery and early discharge from the hospital.

No MeSH data available.


Related in: MedlinePlus

CT scan showing a nodular mass with intensive enhancement on the dome of bladder.
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Figure 1: CT scan showing a nodular mass with intensive enhancement on the dome of bladder.

Mentions: A 55-year-old Chinese woman complaining of lower abdominal pain for one month was admitted to our hospital. Her family history was unremarkable and she had no previous medical problems. Her blood pressure was 110-130/70-80 mmHg, and her heart rate was in the normal range. Physical examination showed no evidence of hypertensive disease. Both ultrasound examination and computed tomography (CT) scan demonstrated a mass on the dome of the bladder, measuring 4.0 × 3.0 cm (Figure 1). Our patient underwent cystoscopic examination and a solitary submucosal mass was seen on the dome of the bladder, with normal mucosal covering. No sign of any metastatic disease was found on ultrasound examination or CT scans of other abdominal organ systems. Routine blood and urine tests showed no abnormality. On the basis of the first diagnosis of bladder tumor, our patient was admitted for laparoscopic partial cystectomy. During the intervention, no hypertension or massive bleeding occurred. Post-operative recovery was uneventful. At 10 months follow-up, our patient felt well, her blood pressure was normal without receiving anti-hypertensive medication.


Non-functional paraganglioma of the urinary bladder: a case report.

Xu DF, Chen M, Liu YS, Gao Y, Cui XG - J Med Case Rep (2010)

CT scan showing a nodular mass with intensive enhancement on the dome of bladder.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2913981&req=5

Figure 1: CT scan showing a nodular mass with intensive enhancement on the dome of bladder.
Mentions: A 55-year-old Chinese woman complaining of lower abdominal pain for one month was admitted to our hospital. Her family history was unremarkable and she had no previous medical problems. Her blood pressure was 110-130/70-80 mmHg, and her heart rate was in the normal range. Physical examination showed no evidence of hypertensive disease. Both ultrasound examination and computed tomography (CT) scan demonstrated a mass on the dome of the bladder, measuring 4.0 × 3.0 cm (Figure 1). Our patient underwent cystoscopic examination and a solitary submucosal mass was seen on the dome of the bladder, with normal mucosal covering. No sign of any metastatic disease was found on ultrasound examination or CT scans of other abdominal organ systems. Routine blood and urine tests showed no abnormality. On the basis of the first diagnosis of bladder tumor, our patient was admitted for laparoscopic partial cystectomy. During the intervention, no hypertension or massive bleeding occurred. Post-operative recovery was uneventful. At 10 months follow-up, our patient felt well, her blood pressure was normal without receiving anti-hypertensive medication.

Bottom Line: A 55-year-old Chinese woman presenting with the sole complaint of lower abdominal pain for one month was admitted to our hospital.Ultrasound and computed tomography revealed a mass on the dome of the bladder measuring 4.0 x 3.0 cm.The tumor was completed removed by laparoscopic partial cystectomy.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Urology, Changzheng Hospital, Second Military Medical University, Shanghai 200003, China. charlessmmu@hotmail.com.

ABSTRACT

Introduction: Paragangliomas that originate from the urinary bladder are extremely rare. In most series, bladder paragangliomas often cause micturitional attacks. Treatment modalities include transurethral resection and cystectomy (partial or total). Prognosis of bladder paraganglioma is similar to that of adrenal pheochromocytoma.

Case presentation: A 55-year-old Chinese woman presenting with the sole complaint of lower abdominal pain for one month was admitted to our hospital. Ultrasound and computed tomography revealed a mass on the dome of the bladder measuring 4.0 x 3.0 cm. The tumor was completed removed by laparoscopic partial cystectomy. Histological examination of the tumor indicated paraganglioma of the urinary bladder. The clinical features, diagnosis, management and pathological findings of paraganglioma of the urinary bladder are discussed.

Conclusions: Bladder paraganglioma should be considered as a differential diagnosis to neoplasm in the urinary bladder, although there is no characteristic symptom. Laparoscopic partial cystectomy may be the first choice in treating paraganglioma of the urinary bladder, offering several advantages such as less invasion, rapid recovery and early discharge from the hospital.

No MeSH data available.


Related in: MedlinePlus