Białek Waldemar, Kawecki Piotr, Dyndor Katarzyna, Wronecki Lech, Rudzki Sławomir
Department of General and Transplant Surgery and Nutritional Treatment , Medical University of Lublin , Poland ; Department of Urology , St. John of Dukla Center of Oncology of the Lublin Region , Lublin , Poland.
Department of Radiology , 1st Military Hospital , Lublin , Poland.
J Ultrason. 2019;19(77):165-170. doi: 10.15557/JoU.2019.0025. Epub 2019 Jun 28.
This case study concerns a 69-year-old woman qualified for transurethral resection of a primary tumor in a urinary bladder. Since a cystoscopic image did not correspond with typical urothelial carcinoma, an intraoperative ultrasonographic transrectal imaging was carried out, on the basis of which it was believed to be urinary bladder paraganglioma. Endoscopic treatment was abandoned. The patient was directed for further examination and next, on suspicion of extra-bladder phaeochromocytoma, scheduled for open surgery. Due to the location and range of the tumor, and systemic conditions, a radical cystectomy and Bricker's supravesical ureteroileal conduit were carried out. A postoperative histopathological examination confirmed the phaeochromocytoma character of the urinary bladder tumor. This case study concerns a 69-year-old woman qualified for transurethral resection of a primary tumor in a urinary bladder. Since a cystoscopic image did not correspond with typical urothelial carcinoma, an intraoperative ultrasonographic transrectal imaging was carried out, on the basis of which it was believed to be urinary bladder paraganglioma. Endoscopic treatment was abandoned. The patient was directed for further examination and next, on suspicion of extra-bladder phaeochromocytoma, scheduled for open surgery. Due to the location and range of the tumor, and systemic conditions, a radical cystectomy and Bricker’s supravesical ureteroileal conduit were carried out. A postoperative histopathological examination confirmed the phaeochromocytoma character of the urinary bladder tumor.
本病例研究涉及一名69岁女性，符合经尿道切除膀胱原发性肿瘤的条件。由于膀胱镜检查图像与典型的尿路上皮癌不符，遂进行了术中经直肠超声成像检查，据此认为是膀胱副神经节瘤。于是放弃了内镜治疗。该患者被送去做进一步检查，接下来，因怀疑有膀胱外嗜铬细胞瘤，安排进行开放手术。鉴于肿瘤的位置和范围以及全身状况，实施了根治性膀胱切除术和布里克氏膀胱上输尿管回肠造口术。术后组织病理学检查证实膀胱肿瘤为嗜铬细胞瘤。本病例研究涉及一名69岁女性，符合经尿道切除膀胱原发性肿瘤的条件。由于膀胱镜检查图像与典型的尿路上皮癌不符，遂进行了术中经直肠超声成像检查，据此认为是膀胱副神经节瘤。于是放弃了内镜治疗。该患者被送去做进一步检查，接下来，因怀疑有膀胱外嗜铬细胞瘤，安排进行开放手术。鉴于肿瘤的位置和范围以及全身状况，实施了根治性膀胱切除术和布里克氏膀胱上输尿管回肠造口术。术后组织病理学检查证实膀胱肿瘤为嗜铬细胞瘤。
