Hietala S O, Texter J H, Crane D B
Acta Radiol Diagn (Stockh). 1977 May;18(3):313-20. doi: 10.1177/028418517701800307.
A case of pheochromocytoma of the urinary bladder in a 20-year-old female is reported. This is the 36th reported case in the English language literature. The patient had classical symptoms of vesical pheochromocytoma with sudden onset of headache, palpitations, and blood pressure elevation during voiding. The provisional diagnosis was arrived at on clinical history, laboratory investigations, including the estimation of catecholamines and vanil mandelic acid (VMA). The diagnosis was confirmed and the tumor was exactly localized by means of angiography. The angiographic appearance of pheochromocytoma of the urinary bladder is not pathognomonic and is similar to that previously described for adrenal pheochromocytoma. Angiography is, with adequate precautions, a safe and useful procedure for ruling out synchronous adrenal or extra-adrenal tumors and for exact localization of the bladder tumor.
报告了一例20岁女性膀胱嗜铬细胞瘤病例。这是英文文献中报道的第36例。该患者具有膀胱嗜铬细胞瘤的典型症状，排尿时突然出现头痛、心悸和血压升高。根据临床病史、实验室检查，包括儿茶酚胺和香草扁桃酸（VMA）的测定，做出了初步诊断。通过血管造影确诊并准确确定了肿瘤的位置。膀胱嗜铬细胞瘤的血管造影表现并无特异性，与先前描述的肾上腺嗜铬细胞瘤相似。在采取适当预防措施的情况下，血管造影是一种安全且有用的方法，可用于排除同步发生的肾上腺或肾上腺外肿瘤，并准确确定膀胱肿瘤的位置。
