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[膀胱嗜铬细胞瘤:输尿管肾积水的罕见病因]

[Bladder pheochromocytoma: a rare cause of ureterohydronephrosis].

作者信息

Martín Osés E, Páez Borda A, Luján Galán M, Ruiz de la Roja J C, Sánchez Sánchez E, Berenguer Sánchez A

机构信息

Servicio de Urología, Hospital Universitario de Getafe, Madrid, España.

出版信息

Arch Esp Urol. 1997 Oct;50(8):915-7.

PMID:9463292
Abstract

OBJECTIVE

To describe a case of bladder paraganglioma with an uncommon form of presentation. The clinical features and diagnostic aspects of this condition are briefly reviewed.

METHODS/RESULTS: Herein we describe the clinical history of a young male patient that had been misdiagnosed as having a ureterocele causing ureterohydronephrosis and hypertension, and had undergone nephrectomy. Pathological analysis of the surgical specimen revealed the underlying cause of the patients's condition.

CONCLUSIONS

Pheochromocytoma is a rare disease entity whose most common form of presentation is hematuria or that which results from catecholamine produced by the tumor. Lesions located close to the ureteral meatus may cause obstruction. If this condition is not suspected and the findings of diagnostic imaging are inadequately interpreted, its diagnosis and treatment may be delayed, thereby increasing the surgical risk due to its secretory nature.

摘要

目的

描述一例表现形式不常见的膀胱副神经节瘤病例。简要回顾该疾病的临床特征和诊断要点。

方法/结果:在此,我们描述一名年轻男性患者的临床病史,该患者曾被误诊为输尿管囊肿导致输尿管积水和高血压,并接受了肾切除术。手术标本的病理分析揭示了患者病情的根本原因。

结论

嗜铬细胞瘤是一种罕见的疾病实体,其最常见的表现形式是血尿或由肿瘤产生的儿茶酚胺引起的症状。位于输尿管口附近的病变可能导致梗阻。如果未怀疑此病且对诊断性影像学检查结果解读不充分,可能会延误其诊断和治疗,因其分泌特性而增加手术风险。

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1
[Bladder pheochromocytoma: a rare cause of ureterohydronephrosis].[膀胱嗜铬细胞瘤:输尿管肾积水的罕见病因]
Arch Esp Urol. 1997 Oct;50(8):915-7.
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Pheochromocytoma of the urinary bladder: a rare cause of severe hypertension.膀胱嗜铬细胞瘤:严重高血压的罕见病因。
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Pheochromocytoma of the urinary bladder.膀胱嗜铬细胞瘤
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[Bilateral ureteroceles with bilateral secondary hydronephrosis and pelvic ureteral calculi. Case report].[双侧输尿管囊肿伴双侧继发性肾积水及盆腔输尿管结石。病例报告]
Rev Med Chir Soc Med Nat Iasi. 2009 Oct-Dec;113(4):1151-4.
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Malignant paraganglioma (pheochromocytoma) of the urinary bladder: report of a case and review of the literature.膀胱恶性副神经节瘤(嗜铬细胞瘤):1例报告并文献复习
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[Rare cause of arterial hypertension: vesical pheochromocytoma].
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[Pheochromocytoma of the urinary bladder, report of a case and review of the literature].[膀胱嗜铬细胞瘤:一例报告并文献复习]
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