膀胱副神經節瘤：病例報告及文獻回顧
鍾卓興、鄒凱亦、胡書維、吳佳璋
行政院衛生福利部雙和醫院泌尿科
Paraganglioma of the urinary bladder : a rare case and literature review
Chung Cho-Hsing, Kai-Yi Tzou, Su-Wei Hu, Chia-Chang Wu
Departmentof Urology, Taipei Medical University-Shuang Ho Hospital, New Taipei City, Taiwan
Purpose:
To report a rare case of paraganglioma of the urinary bladder in a 38-year-old male that presented with micturition attack.
Case presentation:
This is a 38-year-old male presenting with headache for 3-5 minutes and then palpitation after the first voiding in the morning for 5-6 year. Also, he was diagnosed hypertension and the symptoms of headache, palpitation, sweat were progressed. CT of health check showed a 2.8*3.1*3 cm enhancing mass located at posterior aspect of urinary bladder, causing urinary bladder compression. Suspect arising from urinary bladder wall. Urine analysis showed no hematuria. TURBT was done and showed intact bladder mucosa but a huge tumor protruding into bladder, and histopathological examination showed malignant paraganglioma. Then laparoscopic tumor excision was performed and after the surgery, histopathological examination also showed malignant paraganglioma of urinary bladder.
Conclusion:
A bladder mass with micturition attack has to be considered in the differential diagnosis of paraganglioma of urinary bladder, especially in patients with young age hypertension.