authors
-
Zygmunt Dobrowolski 1, Wac³aw Lipczyński 1, Jerzy Bucki 2, Jerzy Stachura 3, Barbara Postawa 4
- 1 Klinika Urologii CM UJ
Kierownik: dr hab. med. Z. Dobrowolski
2 I Klinika Chirurgii CM UJ
Kierownik: prof. dr hab. med. T. Popiel±
3 Katedra Patomorfologii CM UJ
Kierownik: prof. dr hab. med. J. Stachura
4 Klinika Chorób Zaka¼nych CM UJ
Kierownik: prof. dr hab. med. J. Caban
keywords
-
urinary bladder ? pheochromocytoma
summary
- Objective. Pheochromocytoma is an uncommon neoplasm found in 0,1% of
- all patients with hypertension. Extraadrenal pheochromocytomy occurs in 18%
- of all cases of this neoplasm, 1 % of which is located in the urinary bladder.
- Patients and methods. The paper presents the case of a 33-year old male patient
- with chromaffin T4a, N1 M1m tumour paraganglioma ~ pheochromocytomy in the
- urinary bladder, diagnosed and treated initially as tumour of urinary bladder (in
- histopathological examination - cystitis glandularis partim ulcerosa). At that time
- there were no characteristic symptoms of chromaffin tumour, such as headaches,
- palpitation, raised blood pressure after miction with the filling of tiredness. The
- course of the disease was slow, characteristic symptoms appeared late with very
- fast local progression infiltration filling the light of the bladder with the occupation
- of the left ostium of ureter by the infiltration, of the left prostate lobe and left
- spermate follicule, left external iliac yessels. The diagnosis was made of the basis
- of history data, usg, urography, cystoscopy, Computer tomography, scintigraphy
- and biopsy. The image examinations did not give possibility of determining the
- original point of departure of the neoplasm. After endocrynological Preparation
- ablation of urinary bladder, prostate, seminal vesicle and part of the left ureter
- with bilateral ureterosigmoid anastomosis, lymphadenectomy of pelvis, ablation
- of the left external iliac yessels with their subsequent replacement with a prothesis
- was performed. In the postoperative course haemodynamic and methabolic high
- degree disturbances occurred, complicated by pneumonia and insufficiency of
- kidneys and finally multiorgan insufficiency which led to failure of treatment.
- Conclusion. In case of vesical pheochromocytoma the poor prognostic factors
- are: young patient, Calcified tumour, and it's rapid growth thru infiltration of
- surrounding tissues.
references
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- ring in diagnosing a pheochromocytoma of the urinary bladder. A case report. An-
- giology 1997, 48, 655-658.
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