Serviço de Urologia, Centro Hospitalar Universitário de Lisboa Central, Lisboa, Portugal.
Pan Afr Med J. 2020 Aug 25;36:339. doi: 10.11604/pamj.2020.36.339.23086. eCollection 2020.
Bladder Paraganglioma is a rare type of bladder tumor (0.06%). It is typically benign and the most common symptoms are hematuria, hypertension and headache. About 14% of these tumors are malign and consequently radio and chemoresistants. Therefore, surgery is the mainstay of treatment. As they are likely to recur and to metastize lifelong follow-up is required. The authors report a rare case of a 53 years old man with hematuria and a previous history of micturition syncope who was diagnosed with bladder lesion. During the transurethral ressection of bladder he became severely hypertensive. Plasma metanephrines, and urinary vanillylmandelic acid, were still high and the exams suggested residual tumor. The patient underwent radical cistoprostatectomy. After 4 years of follow-up the patient remains disease free.
膀胱副神经节瘤是一种罕见的膀胱肿瘤（0.06%）。它通常是良性的，最常见的症状是血尿、高血压和头痛。这些肿瘤约有 14%是恶性的，因此对放疗和化疗有抵抗力。因此，手术是治疗的主要方法。由于它们很可能会复发并终生转移，因此需要进行随访。作者报告了一例罕见的 53 岁男性病例，该患者因血尿和排尿性晕厥的既往病史被诊断为膀胱病变。在经尿道膀胱肿瘤切除术过程中，他的血压急剧升高。血浆甲氧基肾上腺素和尿香草扁桃酸仍偏高，检查提示有残留肿瘤。患者接受了根治性膀胱前列腺切除术。随访 4 年后，患者仍无疾病。
