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Primary symptomatic perivesical paraganglioma: a case report.
Shinji Kurosaka1, Akira Irie, Junichiro Ishii
1Department of Urology, Kitasato Institute Hospital.
Hinyokika Kiyo. Acta Urologica Japonica
|January 22, 2008
Summary
Extra-adrenal pheochromocytomas, rare tumors, can occur near the bladder. This case highlights successful surgical removal of a symptomatic perivesical pheochromocytoma, with the patient remaining disease-free.
Area of Science:
- Urology
- Endocrinology
- Surgical Oncology
Background:
- Paragangliomas, including extra-adrenal pheochromocytomas, are uncommon neuroendocrine tumors.
- Most commonly arise from sympathetic or parasympathetic ganglia, often in the abdomen.
Observation:
- A rare case of a symptomatic perivesical pheochromocytoma (paraganglioma adjacent to the bladder) was identified in a 34-year-old male.
- The tumor was located in the extravesical retroperitoneal pelvic cavity.
Findings:
- Surgical excision was performed for the symptomatic perivesical pheochromocytoma.
- Post-operative symptoms attributed to catecholamine excess resolved completely.
- The patient has remained disease-free for 24 months following surgery.
Implications:
- This case underscores the importance of considering rare tumor locations for pheochromocytomas.
- Surgical management can be curative for symptomatic perivesical pheochromocytomas.
- Successful outcomes highlight the efficacy of prompt diagnosis and treatment.
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