Feohromocitom mokraćne bešike

  • Predrag Marić Urology Clinic, Military Medical Academy, Belgrade, Serbia
  • Novak Milović Urology Clinic, Military Medical Academy, Belgrade, Serbia, Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Vladimir Bančević Urology Clinic, Military Medical Academy, Belgrade, Serbia, Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Branko Košević Urology Clinic, Military Medical Academy, Belgrade, Serbia
  • Predrag Aleksić Urology Clinic, Military Medical Academy, Belgrade, Serbia, Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Snežana Kuzmić Janković Endocrinology Clinic, Military Medical Academy, Belgrade, Serbia
  • Zoran Hajduković Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia, Endocrinology Clinic, Military Medical Academy, Belgrade, Serbia
  • Boško Milev Clinic for General Surgery, Military Medical Academy, Belgrade, Serbia, Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Snežana Cerović Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia, Institute for Pathology, Military Medical Academy, Belgrade, Serbia
Ključne reči: pneochromocytoma||, ||feohromocitom, urinary bladder neoplasms||, ||mokraćna bešika, neoplazme, ultrasonography||, ||ultrasonografija, radionuclide imaging||, ||scintigrafija, urologic surgical procedures||, ||hirurgija, urološka, procedure,

Sažetak


Uvod. Feohromocitom mokraćne bešike je veoma redak i javlja se kod manje od 0,06% svih tumora mokraćne bešike. Prikaz bolesnika. Prikazali smo bolesnicu, staru 49 godina, sa svakodnevnom paroksizmalnom hipertenzijom praćenom crvenilom lica i gornjeg dela grudnog koša, lupanjem srca i preznojavanjem koji su prethodili aktu mokrenja. Ultrasonografski, viđen je tumor mokraćne bešike, promera 3 cm. Metajod-benzil-guanidin (MIBG) sken pokazao je patološku akumulaciju izotopa u projekciji mokraćne bešike. Bolesnici je učinjena parcijalna cistektomija. Godinu dana nakon operacije, bolesnica je bila normotenzivna, bez recidiva tumora u mokraćnoj bešici. Zaključak. Najefikasniji vid lečenja feohromocitoma mokraćne bešike je njegovo hirurško uklanjanje. Najvažnije u postavljanju dijagnoze je to da lekar posumnja na ovo retko oboljenje.


Biografija autora

Predrag Marić, Urology Clinic, Military Medical Academy, Belgrade, Serbia
Dept of Urology

Reference

Melicow MM. One hundred cases of pheochromocytoma (107 tumors) at the Columbia-Presbyterian Medical Center, 1926-1976: a clinicopathological analysis. Cancer 1977; 40(5): 1987−2004.

Dahm P, Gschwend JE. Malignant non-urothelial neoplasms of the urinary bladder: a review. Eur Urol 2003; 44(6): 672−81.

Ghafoor AU, Yousaf I, Pervez R, Khan RU, Mir K. Paraganglioma of urinary bladder: an unusual presentation. pitfalls in diagno-sis and treatment. J Pak Med Assoc 2012; 62(1): 63−5.

Manager WM, Gifford RW. Diagnosis. In: Manager WM, Gifford RW, editors.Clinical and experimental pheochromocytoma. 2nd ed. Cambridge: Blackwell Sci; 1996. p. 205−332.

Zimmerman IJ, Biron RE, MacMahon EH. Pheochromocytoma of the urinary bladder. N Engl J Med 1953; 249(1): 25−6.

Sweetser PM, Ohl DA, Thompson NW. Pheochromocytoma of the urinary bladder. Surgery 1991; 109(5): 677−81.

Davaris P, Petraki K, Arvanitis D, Papacharalammpous N, Morakis A, Zorzos S. Urinary bladder paraganglioma (U.B.P.). Pathol Res Pract 1986; 181(1): 101−6.

Cheng L, Leibovich BC, Cheville JC, Ramnani DM, Sebo TJ, Neumann RM, et al. Paraganglioma of the urinary bladder: can biologic potential be predicted. Cancer 2000; 88(4): 844−52.

Das S, Bulusu NV, Lowe P. Primary vesical pheochromocytoma. Urology 1983; 21(1): 20−5.

Thrasher JB, Rajan RR, Perez LM, Humphrey PA, Anderson EE. Pheochromocytoma of urinary bladder: contemporary meth-ods of diagnosis and treatment options. Urology 1993; 41(5): 435−9.

Schütz W, Vogel E. Pheochromocytoma of the urinary bladder--a case report and review of the literature. Urol Int 1984; 39(4): 250−5.

Flanigan RC, Wittmann RP, Huhn RG, Davis CJ. Malignant pheochromocytoma of urinary bladder. Urology 1980; 16(4): 386−8.

Ansari MS, Goel A, Goel S, Durairajan LN, Seth A. Malignant paraganglioma of urinary bladder. A case report. Int Urol Nephrol 2001; 33(2): 343−5.

Pang LC, Tsao KC. Flow cytometric DNA analysis for determi-nation of malignant potential in adrenal and extra-adrenal pheochromocytomas or paragangliomas. Arch Pathol Lab Med 1993; 117(11): 1142−7.

Onishi T, Sakata Y, Yonemura S, Sugimura Y. Pheochromocyto-ma of the urinary bladder without typical symptoms. Int J Urol 2003; 10(7): 398−400.

Kato H, Suzuki M, Mukai M, Aizawa S. Clinicopathological study of pheochromocytoma of the urinary bladder: Immuno-histochemical, flow cytometric and ultrastructural findings with review of the literature. Pathol Int 1999; 49(12): 1093−9.

Nativ O, Grant CS, Sheps SG, O'Fallon JR, Farrow GM, van Heer-den JA, et al. Prognostic profile for patients with pheochromo-cytoma derived from clinical and pathological factors and DNA ploidy pattern. J Surg Oncol 1992; 50(4): 258−62.

Nesi G, Vezzosi V, Amorosi A, Menghetti I, Selli C. Paraganglioma of the urinary bladder. Urol Int 1996; 56(4): 250−3.

Raper A, Jessee E, Texter JH, Giffler RF, Hietala S. Pheochromo-cytoma of the urinary bladder: A broad clinical spectrum. Am J Cardiol 1977; 40(5): 820−4.

Tan SM, Chan ST. An undiagnosed pheochromocytoma of the urinary bladder. Anaesth Intensive Care 2002; 30(5): 668−70.

Liu Y, Dong SE, Dong Z, Mao X, Shi XY. Diagnosis and treat-ment of pheochromocytoma in urinary bladder. J Zhejiang Univ Sci B 2007; 8(6): 435−8.

Seki N, Mukai S, Gamachi A, Migita T, Maeda K, Ogata N. A case of bladder pheochromocytoma. Urol Int 2001; 66(1): 57−60.

Karpman E, Zvara P, Stoppacher R, Jackson TL. Pheochromocy-toma of urinary bladder: update on new diagnostic modalities plus case report. Ann Urol 2000; 34(1): 13−9.

Ma JX, Zhu RS, Yu JF, Ding CD, Jing CQ. The value of diagno-sis of aberrant and (or) malignant pheochromocytoma with 131 I-MIBG imaging. Chin J Nucl Med 1996; 16: 101−2.

Naqiyah I, Rohaizak M, Meah FA, Nazri MJ, Sundram M, Amram AR. Phaeochromocytoma of the urinary bladder. Singapore Med J 2005; 46(7): 344−6.

Baima C, Casetta G, Vella R, Tizzani A. Bladder pheochromocy-toma: a 3-year follow-up after transurethral resection (TURB). Urol Int 2000; 65(3): 176−8.

Sanjoaquín MT, Fraile JR, Gutiérrez A, Canal MI, Navia J. Hypertensive crisis during a transurethral resection of the bladder: nondiagnosed bladder paraganglioma. Anesth Analg 2000; 90(3): 556−8.

Janetschek G, Finkenstedt G, Gasser R, Waibel UG, Peschel R, Bartsch G, et al. Laparoscopic surgery for pheochromocytoma: adrenalectomy, partial resection, excision of paragangliomas. J Urol 1998; 160(2): 330−4.

Fernandez CL, Taura P, Saez A. Laparoscopic Approach to Pheochromocytoma: Hemodynamic Changes and Catecholamine Secretion. World J Surg 1996; 20(7): 762−8.

Luchey A, Zaslau S, Talug C. Robotic assisted partial cystectomy with pelvic lymph node dissection for metastatic paragan-glioma of the urinary bladder. Can J Urol 2012; 19(4): 6389−91.

Gyftopoulos K, Perimenis P, Ravazoula P, Athanassopoulos A, Barbalias GA. Pheochromocytoma of the urinary bladder presenting only with macroscopic hematuria. Urol Int 2000; 65(3): 173−5.

Mrabet N, Bellil K, Bellil S, Koubaa W, Nouira Y, Mekni A, et al. Paraganglioma of urinary bladder: report of two cases. Tunis Med 2007; 85(2): 163−5.

Objavljeno
2017/03/01
Broj časopisa
Rubrika
Prikaz bolesnika