Clinical manifestations of paraganglioma of the urinary bladder

Wenfeng Liao; Hongzhang WU; Jian LU; Lulin MA; Xiang JI; Lei Zhao; Xiaofei Hou; Yi Huang

Return

Clinical manifestations of paraganglioma of the urinary bladder

VernacularTitle:膀胱副神经节瘤的临床特点
Author: Wenfeng LIAO ; Hongzhang WU ; Jian LU ; Lulin MA ; Xiang JI ; Lei ZHAO ; Xiaofei HOU ; Yi HUANG
Publication Type:Journal Article
Keywords: Urinary bladder neoplasms; Paraganglioma; Clinical features; Treatment
From: Chinese Journal of Urology 2012;(11):868-871
CountryChina
Language:Chinese
Abstract: Objective To review the clinical characteristics of paraganglioma of the urinary bladder with 5 cases reprt.Methods The clinical data of 5 patients (2 males and 3 females,age 23-68 years)with paraganglioma of the urinary bladder were reported.Two cases were diagnosed by ultrasonography during health examination,1 case was found by hematuria,1 had difficulty of voiding,and 1 presented with palpitation,chest discomfort while urination.Two cases were clinical diagnosed as bladder paraganglioma,1case urachal carcinoma,and 2 cases bladder tumor.Cystoscopy showed a protruding tumor within the bladder or bladder had compressed changes.One case of tumor located in the triangle,1 in the posterior wall,1in the top,2 in the anterior wall.Three cases of biopsy were negative.Three cases of preoperative endocrine examinations showed norepinephrine significantly higher.Results Laparoscopic partial cystectomy was performed in 3 cases,open partial cystectomy in 1 case,and transurethral resection of bladder tumor (TURBT) in 1 case.One case had the complication of stress cardiomyopathy during TURBT,3 cases found intraoperative hypertensive crisis.The bleeding volume was 20-800 ml (average 126 ml),and I case received blood transfusion.During the follow-up period for 3-48 months,the blood pressure was normal,and no recurrence was found.Conclusions Bladder paraganglioma is uncommon and easily misdiagnosed.For the patients with bladder tumor,accompanied by changes in blood pressure,palpitations during urination should be highly suspicious of bladder paraganglioma.Partial cystectomy is the main treatment method.