Hu Liang-Liang, Guo Zhong-Qiang, Dai Peng, Chen Gang, Tian Tao
Department of Urology, Shandong Zaozhuang Municipal Hospital, Zaozhuang, China.
Department of Urology, People's Hospital of Yicheng District, Zaozhuang, Shandong, China.
Front Cardiovasc Med. 2022 Dec 19;9:1092260. doi: 10.3389/fcvm.2022.1092260. eCollection 2022.
Pheochromocytomas are neuroendocrine tumors that produce catecholamines and can be difficult to diagnose. Bladder involvement is uncommon with pheochromocytoma. Hypertension (sometimes with hypertensive crisis coinciding with micturition), headache, hematuria and syncope, which are commonly associated with voiding, are the most prevalent symptoms. While transurethral resection may be performed in roughly 20% of patients, 70% require partial cystectomy and 10% require radical cystectomy. We present a case of pheochromocytoma with hypertension and syncope that was often associated with voiding, satisfactorily treated by partial cystectomy.
嗜铬细胞瘤是一种产生儿茶酚胺的神经内分泌肿瘤，诊断可能存在困难。嗜铬细胞瘤累及膀胱的情况并不常见。高血压（有时伴有与排尿同时发生的高血压危象）、头痛、血尿和晕厥是与排尿相关的最常见症状。虽然约20%的患者可行经尿道切除术，但70%的患者需要行膀胱部分切除术，10%的患者需要行根治性膀胱切除术。我们报告一例伴有高血压和晕厥且常与排尿相关的嗜铬细胞瘤病例，经膀胱部分切除术治疗效果良好。
