[Cystoscopy-assisted partial cystectomy for paraganglioma of the urinary bladder].
A 39-year-old woman visited our hospital with a complaint of gross hematuria. Cystoscopy revealed a nodular tumor 3 cm in diameter in the posterior wall of the bladder. A transurethral resection was performed. This initial operation was complicated by unexpected intra-operative high blood pressure and visualization was obscured by bleeding. The histological diagnosis was paraganglioma. Therefore, a partial cystectomy was planned. Using cystoscopy, a 10 mm margin was identified and marked using electrocoagulation, followed by an open surgical procedure. After laparotomy, drainage veins were identified and ligated under the guidance of flexible cystoscopy lighting. Intra-operative blood pressure was stable during the operation, and the margin was negative for tumor.
Ikeda
Masaomi
M
Department of Urology, St Luke's International Hospital.
Endo
Fumiyasu
F
Shiga
Yoshiyuki
Y
Oguchi
Tomohiko
T
Yashi
Masahiro
M
Hattori
Kazunori
K
Muraishi
Osamu
O
D000328:Adult; D015653:Cystectomy / Q000379:methods*; D003558:Cystoscopy; D005260:Female; D006801:Humans; D010235:Paraganglioma / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D016896:Treatment Outcome; D001749:Urinary Bladder Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*