Zhou Jin, Wu Wen-Feng, Zhang Wenbin, Xin Jun, Lei Wen-Hui
Department of Urology, The first hospital of Quanzhou affiliated to Fujian Medical University, Quanzhou, Fujian, China.
Department of Medicine, Lishui Municipal Central Hospital, Lishui, Zhejiang Province.
Medicine (Baltimore). 2020 Apr;99(17):e19852. doi: 10.1097/MD.0000000000019852.
Most pheochromocytomas of the urinary tract are located in the bladder. However, ectopic prostate pheochromocytomas have rarely been reported. We herein report an unusual case of ectopic prostate pheochromocytoma successfully treated by transurethral resection of the prostate (TURP).
A 44-year-old Asian man with no significant previous medical history such as hypertension, presented to the urologist complaining of palpitations and anxiety on urination for more than 1 month.
Pathological examination confirmed ectopic prostate pheochromocytoma.
An ectopic prostate pheochromocytoma without definite metastasis was confirmed. The lesion was successfully treated via TURP.
All of his symptoms completely and immediately disappeared after surgery. Over a 21-month follow-up period, a repeat abdominal computed tomography (CT) scan did not show any evidence of recurrence.
When patients present with symptoms of catecholamine excess on urination, extra-adrenal pheochromocytoma in the prostate should also be considered. TURP may be a viable option for therapy.
大多数泌尿道嗜铬细胞瘤位于膀胱。然而,异位前列腺嗜铬细胞瘤鲜有报道。我们在此报告一例经尿道前列腺电切术(TURP)成功治疗的异位前列腺嗜铬细胞瘤罕见病例。
一名44岁的亚洲男性,既往无高血压等重大病史,因排尿时心悸和焦虑1个多月就诊于泌尿外科医生。
病理检查确诊为异位前列腺嗜铬细胞瘤。
确诊为无明确转移的异位前列腺嗜铬细胞瘤。通过TURP成功治疗该病变。
术后他所有症状立即完全消失。在21个月的随访期内,重复腹部计算机断层扫描(CT)未显示任何复发迹象。
当患者出现排尿时儿茶酚胺过量症状时,也应考虑前列腺的肾上腺外嗜铬细胞瘤。TURP可能是一种可行的治疗选择。