Intraoperative decision to change the course of management based on an ultrasonographic image of urinary bladder paraganglioma – a case study

Autor: Waldemar Białek, Piotr Kawecki, Katarzyna Dyndor, Lech Wronecki, Sławomir Rudzki
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of Ultrasonography, Vol 19, Iss 77, Pp 165-170 (2019)
Druh dokumentu: article
ISSN: 2084-8404
2451-070X
DOI: 10.15557/JoU.2019.0025
Popis: This case study concerns a 69-year-old woman qualified for transurethral resection of a primary tumor in a urinary bladder. Since a cystoscopic image did not correspond with typical urothelial carcinoma, an intraoperative ultrasonographic transrectal imaging was carried out, on the basis of which it was believed to be urinary bladder paraganglioma. Endoscopic treatment was abandoned. The patient was directed for further examination and next, on suspicion of extra-bladder phaeochromocytoma, scheduled for open surgery. Due to the location and range of the tumor, and systemic conditions, a radical cystectomy and Bricker’s supravesical ureteroileal conduit were carried out. A postoperative histopathological examination confirmed the phaeochromocytoma character of the urinary bladder tumor.
Databáze: Directory of Open Access Journals