Journal of Zhejiang University SCIENCE B

, Volume 8, Issue 6, pp 435–438 | Cite as

Diagnosis and treatment of pheochromocytoma in urinary bladder

  • Liu Yong 
  • Dong Sheng-guo 
  • Dong Zhen 
  • Mao Xin 
  • Shi Xin-yan 
Case Report

Abstract

Objective

To study the diagnosis and treatment of pheochromocytoma in urinary bladder.

Methods

Six cases of bladder pheochromocytoma were studied. Four cases showed hypertension, 3 of which were paroxysmal hypertension during urination. Catecholamine (CA) was increased in a case, and vanillymandelic acid (VMA) was increased in 2 cases. Bladder submucosal mass was detected by B-ultrasound in 5 cases (5/5), computerized tomography (CT) in 3 cases (3/3), cystoscopy in 5 cases (5/6). Four cases took α-receptor blocker for 2 weeks, 1 case took β-receptor blocker to decrease heart rate. All patients were treated with surgical operation including 4 partial cystectomies, 2 excavations.

Results

Three cases had manifestations including headache, excessive perspiration and hypertension during cystoscopy. Four cases were confirmed before operation. Two cases showed hypertension during operation. All patients were pathologically diagnosed as pheochromocytoma postoperatively. In five cases followed up, blood pressure returned to normal. No patient had relapse and malignancy.

Conclusions

Typical hypertension during urination comprised the main symptoms. We should highly suspect bladder pheochromocytoma if a submucosal mass was discovered with B-ultrasound, CT, 131I-MIBG (methyliodobenzylguanidine) and cystoscopy. The determination of CA in urine is valuable for qualitative diagnosis. The preoperative management of controlling blood pressure and expansion of the blood volume are very important. Surgical operation is a good method for effective treatment. Postoperative long-time followed up is necessary.

Key words

Urinary bladder Pheochromocytoma Diagnosis Therapeutics 

CLC number

R69 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Baima, C., Casetta, G., Vella, R., Tizzani, A., 2000. Bladder pheochromocytoma: a 3-year follow-up after transurethral resection (TURB). Urol. Int., 65(3):176–178. [doi:10.1159/000064868]PubMedCrossRefGoogle Scholar
  2. Karpman, E., Zvara, P., Stoppacher, R., Jackson, T.L., 2000. Pheochromocytoma of urinary bladder: update on new diagnostic modalities plus case report. Ann. Urol., 34:113–119.Google Scholar
  3. Ma, J.X., Zhu, R.S., Yu, J.F., Ding, C.D., Jing, C.Q., 1996. The value of diagnosis of aberrant and (or) malignant pheochromocytoma with 131I-MIBG imaging. Chinese Journal of Nuclear Medicine, 16:101–102.Google Scholar
  4. Naqiyah, I., Dohaizak, M., Meah, F.A., Nazri, M.J., Sundra, M., Amram, A.R., 2005. Pheochromocytoma of the urinary bladder. Singapore Med. J., 46(7):344–346.PubMedGoogle Scholar
  5. Onishi, T., Sakata, Y., Yonemura, S., Suqimura, Y., 2003. Pheochromocytoma of urinary bladder without typical symptoms. Int. J. Urol., 10(7):398–400. [doi:10.1046/j.1442-2042.2003.00645.x]PubMedCrossRefGoogle Scholar
  6. Seki, N., Mukai, S., Gamachi, A., Migita, T., Maeda, K., Ogata, N., 2001. A case of bladder pheochromocytoma. Urol. Int., 66(1):57–60. [doi:10.1159/000056569]PubMedCrossRefGoogle Scholar
  7. Walsh, P.C., Petik, A.B., Vanghan, E.D., 1998. Capbell’s Urology, 7th Ed. Philadelphia, Sauders.Google Scholar
  8. Wu, J.P., 2003. Wujieping’s Urology, 1st Ed. Shandong Science and Technology Press, Ji’nan, p.987–989.Google Scholar

Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Liu Yong 
    • 1
  • Dong Sheng-guo 
    • 1
  • Dong Zhen 
    • 1
  • Mao Xin 
    • 1
  • Shi Xin-yan 
    • 1
  1. 1.Department of Urology, Affiliated Hospital, School of MedicineQingdao UniversityQingdaoChina

Personalised recommendations