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膀胱嗜铬细胞瘤的非典型表现。

Atypical presentation of bladder pheochromocytoma.

作者信息

Wen Chen-Yueh, Yu Chung-Tai, Hsieh Cheng-Hsing

机构信息

Department of Urology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, New Taipei, Taiwan.

School of Medicine, Tzu Chi University, Hualien, Taiwan.

出版信息

Tzu Chi Med J. 2017 Jan-Mar;29(1):46-49. doi: 10.4103/tcmj.tcmj_10_17.

DOI:10.4103/tcmj.tcmj_10_17
PMID:28757764
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5509191/
Abstract

Bladder pheochromocytoma is a rare tumor. The typical manifestations are hematuria, hypertension, headache, sweating, and tachycardia provoked by micturition or overdistention of the bladder. We herein report a case of bladder pheochromocytoma in a 52-year-old woman who presented without micturition attacks. Her clinical course had a latent period of 10 years. A urinary bladder tumor was found incidentally on revealed a large submucosal tumor covered by congested urothelium with a broad base over the left lateral wall of the bladder. Transurethral resection was performed, and the final diagnosis was confirmed by pathological analysis. The patient remained recurrence free after 7-year follow-up.

摘要

膀胱嗜铬细胞瘤是一种罕见的肿瘤。典型表现为血尿、高血压、头痛、出汗以及排尿或膀胱过度充盈诱发的心动过速。我们在此报告一例52岁女性膀胱嗜铬细胞瘤病例,该患者无排尿发作症状。其临床病程有10年的潜伏期。偶然发现膀胱肿瘤,膀胱左侧壁见一巨大黏膜下肿瘤,表面被充血的尿路上皮覆盖,基底部较宽。行经尿道切除术,最终诊断经病理分析得以证实。患者经过7年随访无复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f673/5509191/a58dcb881ed5/TCMJ-29-46-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f673/5509191/43f6d6a65f9e/TCMJ-29-46-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f673/5509191/81cdfe48e4ff/TCMJ-29-46-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f673/5509191/2fe81d0b2e9f/TCMJ-29-46-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f673/5509191/a58dcb881ed5/TCMJ-29-46-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f673/5509191/43f6d6a65f9e/TCMJ-29-46-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f673/5509191/81cdfe48e4ff/TCMJ-29-46-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f673/5509191/2fe81d0b2e9f/TCMJ-29-46-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f673/5509191/a58dcb881ed5/TCMJ-29-46-g004.jpg

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Abdom Radiol (NY). 2022 Dec;47(12):4032-4041. doi: 10.1007/s00261-022-03483-8. Epub 2022 Mar 28.

本文引用的文献

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Role of RET genetic variants in MEN2-associated pheochromocytoma.RET 基因突变在 MEN2 相关嗜铬细胞瘤中的作用。
Eur J Endocrinol. 2014 Jun;170(6):821-8. doi: 10.1530/EJE-14-0084. Epub 2014 Mar 10.
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Pheochromocytoma of the urinary bladder: a systematic review of the contemporary literature.膀胱嗜铬细胞瘤:当代文献的系统综述
BMC Urol. 2013 Apr 29;13:22. doi: 10.1186/1471-2490-13-22.
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Extra-adrenal pheochromocytoma.肾上腺外嗜铬细胞瘤
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