A rare case of bladder paraganglioma treated successfully with robotic partial cystectomy
Bladder paragangliomas are rare extra-adrenal urological tumors that account for around 0.05% of bladder cancers. Their diagnosis is often delayed because of the rarity of these tumors. There is a risk of an intraoperative hypertensive crisis if not diagnosed or identified before surgical removal. W...
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Bioscientifica
2025-01-01
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Series: | Endocrine Oncology |
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Online Access: | https://eo.bioscientifica.com/view/journals/eo/5/1/EO-24-0044.xml |
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author | Kalyan M Shekhda Jessal M Palan Christo B Albor Simon Wan Teng-Teng Chung |
author_facet | Kalyan M Shekhda Jessal M Palan Christo B Albor Simon Wan Teng-Teng Chung |
author_sort | Kalyan M Shekhda |
collection | DOAJ |
description | Bladder paragangliomas are rare extra-adrenal urological tumors that account for around 0.05% of bladder cancers. Their diagnosis is often delayed because of the rarity of these tumors. There is a risk of an intraoperative hypertensive crisis if not diagnosed or identified before surgical removal. We describe a case of a 36-year-old lady presented with a 10-year history of post-micturition palpitations and headaches. Her biochemical workup showed raised urinary normetanephrine levels and imaging showed a 123I MIBG-avid bladder mass compatible with bladder paraganglioma, although interestingly almost no tracer was picked up in 68Ga DOTATATE imaging. She was started on phenoxybenzamine to control her blood pressure prior to surgery. She underwent a successful robotic partial cystectomy with no complications. After surgery, she remained symptom-free. Bladder paragangliomas are rare neuroendocrine tumors of the bladder, which need to be diagnosed and managed effectively to avoid intraoperative and long-term complications. |
format | Article |
id | doaj-art-3e27ce6381be4baabc2d1da21dded7a3 |
institution | Kabale University |
issn | 2634-4793 |
language | English |
publishDate | 2025-01-01 |
publisher | Bioscientifica |
record_format | Article |
series | Endocrine Oncology |
spelling | doaj-art-3e27ce6381be4baabc2d1da21dded7a32025-01-07T17:18:01ZengBioscientificaEndocrine Oncology2634-47932025-01-015110.1530/EO-24-00441A rare case of bladder paraganglioma treated successfully with robotic partial cystectomyKalyan M Shekhda0Jessal M Palan1Christo B Albor2Simon Wan3Teng-Teng Chung4Department of Diabetes and Endocrinology, University College London Hospital NHS Foundation Trust, London, UKDepartment of Diabetes and Endocrinology, Whittington Hospital NHS Foundation Trust, London, UKDepartment of Diabetes and Endocrinology, Kings College Hospital NHS Foundation Trust, London, UKDepartment of Radiology and Nuclear Medicine, University College London Hospital NHS Foundation Trust, London, UKDepartment of Diabetes and Endocrinology, University College London Hospital NHS Foundation Trust, London, UKBladder paragangliomas are rare extra-adrenal urological tumors that account for around 0.05% of bladder cancers. Their diagnosis is often delayed because of the rarity of these tumors. There is a risk of an intraoperative hypertensive crisis if not diagnosed or identified before surgical removal. We describe a case of a 36-year-old lady presented with a 10-year history of post-micturition palpitations and headaches. Her biochemical workup showed raised urinary normetanephrine levels and imaging showed a 123I MIBG-avid bladder mass compatible with bladder paraganglioma, although interestingly almost no tracer was picked up in 68Ga DOTATATE imaging. She was started on phenoxybenzamine to control her blood pressure prior to surgery. She underwent a successful robotic partial cystectomy with no complications. After surgery, she remained symptom-free. Bladder paragangliomas are rare neuroendocrine tumors of the bladder, which need to be diagnosed and managed effectively to avoid intraoperative and long-term complications.https://eo.bioscientifica.com/view/journals/eo/5/1/EO-24-0044.xmlbladder paragangliomapartial cystectomyga-dotatate scanrobotic partial cystectomy |
spellingShingle | Kalyan M Shekhda Jessal M Palan Christo B Albor Simon Wan Teng-Teng Chung A rare case of bladder paraganglioma treated successfully with robotic partial cystectomy Endocrine Oncology bladder paraganglioma partial cystectomy ga-dotatate scan robotic partial cystectomy |
title | A rare case of bladder paraganglioma treated successfully with robotic partial cystectomy |
title_full | A rare case of bladder paraganglioma treated successfully with robotic partial cystectomy |
title_fullStr | A rare case of bladder paraganglioma treated successfully with robotic partial cystectomy |
title_full_unstemmed | A rare case of bladder paraganglioma treated successfully with robotic partial cystectomy |
title_short | A rare case of bladder paraganglioma treated successfully with robotic partial cystectomy |
title_sort | rare case of bladder paraganglioma treated successfully with robotic partial cystectomy |
topic | bladder paraganglioma partial cystectomy ga-dotatate scan robotic partial cystectomy |
url | https://eo.bioscientifica.com/view/journals/eo/5/1/EO-24-0044.xml |
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