[72] Phaeochromocytoma of the bladder: Report of a case and review of the literature
| Autor: | Nassim Laskri, Abdelkrim Kadi, Sina Haiahem, Abdelkrim Boulatrous, Abdelhalim Chouakria, Soumaya Lekouaghet, Kheireddine Chettibi, Mourad Nouacer, Nour El Islam Kadem, Samir Atik, Mohamed Malik Atoui, Abdelkrim Khenniche, Karim Atoui |
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| Rok vydání: | 2018 |
| Předmět: |
endocrine system
medicine.medical_specialty Urinary bladder endocrine system diseases medicine.diagnostic_test Adrenal gland business.industry Urology media_common.quotation_subject medicine.medical_treatment Magnetic resonance imaging urologic and male genital diseases Urination Diseases of the genitourinary system. Urology Lesion Cystectomy medicine.anatomical_structure medicine Palpitations RC870-923 Radiology medicine.symptom Headaches business media_common |
| Zdroj: | Arab Journal of Urology, Vol 16, Iss, Pp S34-(2018) |
| ISSN: | 2090-598X |
| DOI: | 10.1016/j.aju.2018.10.025 |
| Popis: | Objective To report on a case of phaeochromocytoma of the bladder and discuss general management principles of bladder phaeochromocytoma and the importance of long-term follow-up. Phaeochromocytomas are chromaffin cell tumours that are derived from neuroectodermal tissue of the adrenal gland and sympathetic paraganglia. These tumours can arise anywhere in the body from the skull (glomus and carotid bodies) to the bladder and prostatic glands. Phaeochromocytomas of the urinary bladder are rare tumours, accounting for ∼ 1% of extra-adrenal phaeochromocytomas and 0.06% of bladder tumours. Methods A 13-year-old patient presented with paroxysmal symptoms consisting of headaches, palpitations, tinnitus and excessive sweating after each micturition and haematuria. Complementary investigations: ultrasonography, intravenous urography, and magnetic resonance imaging, suggested a circumscribed tumour with a 3-cm long axis in the bladder dome, and the diagnosis of bladder phaeochromocytoma was fixed after an endoscopic biopsy. Partial cystectomy was performed. Results The postoperative course was uneventful, and the subsequent outcome was favourable with resolution of all symptoms with a follow-up of 10 years. Histological examination of the operative specimen confirmed the diagnosis of bladder phaeochromocytoma. Conclusion Bladder phaeochromocytoma is a rare tumour. Treatment of this lesion requires the same preparation as for any other site of phaeochromocytoma. Partial cystectomy ensures radical and effective treatment. Long-term surveillance is necessary, as recurrences or metastases have been described 20 and 40 years after treatment. |
| Databáze: | OpenAIRE |
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