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Bladder Paraganglioma Presenting as Post-Micturition Palpitations: A Case Report
Ali Zare1, Moein Bighamian2, Farzad Moloudi3
1Department of Urology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Case Reports in Oncology
|March 26, 2024
Summary
Paraganglioma of the urinary bladder (PUB) is a rare neuroendocrine tumor. This case highlights the importance of considering PUB in patients with post-micturition symptoms for timely diagnosis and treatment.
Area of Science:
- Urology
- Endocrinology
- Oncology
Background:
- Paraganglioma of the urinary bladder (PUB) is an exceedingly rare extra-adrenal neuroendocrine tumor.
- PUB accounts for approximately 0.05% of all bladder tumors and 1% of pheochromocytomas.
- Clinical presentation of PUB is often diverse and diagnostically challenging.
Observation:
- A 37-year-old male presented with post-micturition palpitations, headache, and sweating.
- No history of hematuria or irritative urinary symptoms was reported.
- Imaging revealed a suspicious mass on the right posterolateral bladder wall.
Findings:
- Despite normal functional hormonal tests, diagnosis was confirmed post-surgery.
- Histopathological examination confirmed the presence of paraganglioma.
- Surgical enucleation was performed for diagnosis and treatment.
Implications:
- Consider PUB in differential diagnosis for patients with post-micturition symptoms and paroxysmal hypertension.
- A multidisciplinary approach is essential for managing these rare and complex cases.
- Early recognition and surgical intervention are critical for favorable outcomes.
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