Unusual presentation of bladder paraganglioma: Comparison of 131I MIBG SPECT/CT and 68Ga DOTANOC PET/CT

Extraadrenal chromaffin cell-related tumors or paragangliomas are rare, especially in the bladder, accounting for less than 1% of cases. We report a 16-year-old boy who presented with hematuria and paroxysmal headache and was found to have a prostatic growth infiltrating the urinary bladder on anato...

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Main Authors: Tarun Jain, Rajender Basher, Nitin Gupta, Jaya Shukla, Shrawan Singh, Bhagwant Mittal
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2016-01-01
Series:World Journal of Nuclear Medicine
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Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/1450-1147.167591
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author Tarun Jain
Rajender Basher
Nitin Gupta
Jaya Shukla
Shrawan Singh
Bhagwant Mittal
author_facet Tarun Jain
Rajender Basher
Nitin Gupta
Jaya Shukla
Shrawan Singh
Bhagwant Mittal
author_sort Tarun Jain
collection DOAJ
description Extraadrenal chromaffin cell-related tumors or paragangliomas are rare, especially in the bladder, accounting for less than 1% of cases. We report a 16-year-old boy who presented with hematuria and paroxysmal headache and was found to have a prostatic growth infiltrating the urinary bladder on anatomical imaging. Iodine-131 (131I) metaiodobenzylguanidine (MIBG) whole-body scanning and subsequently gallium-68 (68Ga) DOTANOC positron emission tomography/computed tomography (PET/CT) were performed. The MIBG scan revealed a non-tracer-avid soft-tissue mass, while DOTANOC PET/CT revealed a tracer-avid primary soft-tissue mass involving the urinary bladder and prostate with metastasis to the iliac lymph nodes. He underwent surgical management; histopathology of the surgical specimen revealed a bladder paraganglioma, whereas the prostate was found to be free of tumor.
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issn 1450-1147
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publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series World Journal of Nuclear Medicine
spelling doaj-art-77f2e668dfc94698bb1a0fb0268ee6c32025-08-20T01:57:55ZengThieme Medical and Scientific Publishers Pvt. Ltd.World Journal of Nuclear Medicine1450-11471607-33122016-01-011501656710.4103/1450-1147.167591Unusual presentation of bladder paraganglioma: Comparison of 131I MIBG SPECT/CT and 68Ga DOTANOC PET/CTTarun Jain0Rajender Basher1Nitin Gupta2Jaya Shukla3Shrawan Singh4Bhagwant Mittal5Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, Haryana and Punjab, IndiaDepartment of Nuclear Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, Haryana and Punjab, IndiaDepartment of Nuclear Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, Haryana and Punjab, IndiaDepartment of Nuclear Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, Haryana and Punjab, IndiaDepartment of Urology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, Haryana and Punjab, IndiaDepartment of Nuclear Medicine, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, Haryana and Punjab, IndiaExtraadrenal chromaffin cell-related tumors or paragangliomas are rare, especially in the bladder, accounting for less than 1% of cases. We report a 16-year-old boy who presented with hematuria and paroxysmal headache and was found to have a prostatic growth infiltrating the urinary bladder on anatomical imaging. Iodine-131 (131I) metaiodobenzylguanidine (MIBG) whole-body scanning and subsequently gallium-68 (68Ga) DOTANOC positron emission tomography/computed tomography (PET/CT) were performed. The MIBG scan revealed a non-tracer-avid soft-tissue mass, while DOTANOC PET/CT revealed a tracer-avid primary soft-tissue mass involving the urinary bladder and prostate with metastasis to the iliac lymph nodes. He underwent surgical management; histopathology of the surgical specimen revealed a bladder paraganglioma, whereas the prostate was found to be free of tumor.http://www.thieme-connect.de/DOI/DOI?10.4103/1450-1147.167591bladder paragangliomaiodine-131 (131i) metaiodobenzylguanidine (mibg)gallium-68 (68ga) dotanoc positron emission tomography.computed tomography. (pet/ct)
spellingShingle Tarun Jain
Rajender Basher
Nitin Gupta
Jaya Shukla
Shrawan Singh
Bhagwant Mittal
Unusual presentation of bladder paraganglioma: Comparison of 131I MIBG SPECT/CT and 68Ga DOTANOC PET/CT
World Journal of Nuclear Medicine
bladder paraganglioma
iodine-131 (131i) metaiodobenzylguanidine (mibg)
gallium-68 (68ga) dotanoc positron emission tomography.computed tomography. (pet/ct)
title Unusual presentation of bladder paraganglioma: Comparison of 131I MIBG SPECT/CT and 68Ga DOTANOC PET/CT
title_full Unusual presentation of bladder paraganglioma: Comparison of 131I MIBG SPECT/CT and 68Ga DOTANOC PET/CT
title_fullStr Unusual presentation of bladder paraganglioma: Comparison of 131I MIBG SPECT/CT and 68Ga DOTANOC PET/CT
title_full_unstemmed Unusual presentation of bladder paraganglioma: Comparison of 131I MIBG SPECT/CT and 68Ga DOTANOC PET/CT
title_short Unusual presentation of bladder paraganglioma: Comparison of 131I MIBG SPECT/CT and 68Ga DOTANOC PET/CT
title_sort unusual presentation of bladder paraganglioma comparison of 131i mibg spect ct and 68ga dotanoc pet ct
topic bladder paraganglioma
iodine-131 (131i) metaiodobenzylguanidine (mibg)
gallium-68 (68ga) dotanoc positron emission tomography.computed tomography. (pet/ct)
url http://www.thieme-connect.de/DOI/DOI?10.4103/1450-1147.167591
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