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微创部分膀胱切除术联合双侧膀胱输尿管连接部切除术及再植术治疗累及膀胱三角区的巨大副神经节瘤。

Minimally invasive partial cystectomy with bilateral vesico-ureteric junction resection and reimplantation for a large paraganglioma involving urinary bladder trigone.

作者信息

Ravichandran-Chandra Abinaya, Arthanareeswaran Vinodh-Kumar-Adithyaa, Do Hoang-Minh, Dietel Anja, Franz Toni, Kyriazis Iason, Liatsikos Evangelos, Rassler Joerg, Horn Lars-Christian, Stolzenburg Jens-Uwe

机构信息

Department of Urology, Leipzig University Hospital, Leipzig, Germany.

University of Patras Medical School, Patras, Greece.

出版信息

Cent European J Urol. 2017;70(4):378-381. doi: 10.5173/ceju.2017.1351. Epub 2017 Sep 19.

DOI:10.5173/ceju.2017.1351
PMID:29410889
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5791395/
Abstract

Paragangliomas are neuroendocrine tumours of extra adrenal origin. Although it occurs rarely in the genitourinary system, urinary bladder is the most common site. Its diagnosis warrants complete surgical excision with lymphadenectomy in case of metastatic disease. The functional status of this tumour makes intraoperative handling challenging. Surgical resection necessitates minimal manipulation of tumour thereby mitigating intraoperative physiological jeopardy. We report the possibility of minimally invasive partial cystectomy with bilateral vesico-ureteric junction resection and re-implantation for non-malignant paraganglioma involving the bladder trigone. Intraoperative frozen section is deemed necessary to achieve tumour free margin status.

摘要

副神经节瘤是肾上腺外起源的神经内分泌肿瘤。虽然它在泌尿生殖系统中很少见，但膀胱是最常见的部位。其诊断需要在转移性疾病的情况下进行完整的手术切除并清扫淋巴结。该肿瘤的功能状态使术中处理具有挑战性。手术切除需要尽量减少对肿瘤的操作，从而减轻术中的生理风险。我们报告了对累及膀胱三角区的非恶性副神经节瘤行微创部分膀胱切除术并双侧膀胱输尿管连接部切除及再植术的可能性。术中冰冻切片被认为对于达到切缘无肿瘤状态是必要的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73cc/5791395/1fbe034544a7/CEJU-70-1351-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73cc/5791395/81f5afd20073/CEJU-70-1351-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73cc/5791395/a98ee5c6e6b1/CEJU-70-1351-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73cc/5791395/a6221161f250/CEJU-70-1351-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73cc/5791395/496088ee5a02/CEJU-70-1351-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73cc/5791395/7e8ea8ed0c05/CEJU-70-1351-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73cc/5791395/1fbe034544a7/CEJU-70-1351-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73cc/5791395/81f5afd20073/CEJU-70-1351-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73cc/5791395/a98ee5c6e6b1/CEJU-70-1351-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73cc/5791395/a6221161f250/CEJU-70-1351-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73cc/5791395/496088ee5a02/CEJU-70-1351-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73cc/5791395/7e8ea8ed0c05/CEJU-70-1351-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73cc/5791395/1fbe034544a7/CEJU-70-1351-g006.jpg

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本文引用的文献

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Urinary bladder paraganglioma-a case series with proposed treating algorithm based on our experience and review of literature.膀胱副神经节瘤——基于我们的经验及文献综述提出治疗算法的病例系列
Indian J Surg Oncol. 2013 Sep;4(3):294-7. doi: 10.1007/s13193-013-0244-9. Epub 2013 May 3.
3
Robotic assisted partial cystectomy with pelvic lymph node dissection for metastatic paraganglioma of the urinary bladder.
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Pheochromocytoma of the urinary bladder: a rare cause of severe hypertension.膀胱嗜铬细胞瘤：严重高血压的罕见病因。
Saudi J Kidney Dis Transpl. 2012 Jul;23(4):813-6. doi: 10.4103/1319-2442.98167.
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Robot-assisted partial cystectomy of a bladder pheochromocytoma.机器人辅助膀胱嗜铬细胞瘤部分膀胱切除术。
Urol Int. 2011;87(2):241-4. doi: 10.1159/000324269. Epub 2011 May 19.
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