[Pheochromocytoma of the urinary bladder. Diagnosis and therapy based on a case report].
Micturition difficulties associated with unstable hypertension, tachycardia and profuse sweating could be a sign of pheochromocytoma of the urinary bladder. Of all pheochromocytomas, 10-36% are located extradrenally, in which case they are also referred to as paragangliomas, and 1-3% are found in the urinary bladder. The case history of a 44-year-old female patient with typical symptoms is described. Diagnosis required not only CT, NMR, excretory urography and MIBG scintigraphy, but also hormonal analyses. Histology reveals malignancy in up to 20%; it is thought that focal invasions of tumor into vessels and destruction of connective tissue might be pathognomonic. A precise history and careful diagnosis are necessary before a pheochromocytoma of the bladder can be disclosed and treated.
Urologische Universitätsklinik Hamburg-Eppendorf.
J
J
Noldus
U
U
Otto
S
S
Conrad
H
H
Klosterhalfen
D000328:Adult; D014408:Biomarkers, Tumor / Q000032:analysis; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D009360:Neoplastic Cells, Circulating; D010673:Pheochromocytoma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D010751:Phosphopyruvate Hydratase / Q000032:analysis; D001743:Urinary Bladder / Q000473:pathology; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery
D014408:Biomarkers, Tumor; D010751:Phosphopyruvate Hydratase
Das Phäochromozytom der Harnblase. Diagnostik und Therapie anhand eines Fallberichts.