残存腫瘍確認のため2nd TURBTを施行した膀胱パラガングリオーマの1例

Abstract

A 66-year-old woman was referred to our hospital because a bladder tumor was detected by abdominal ultrasonography. Although she was asymptomatic, cystoscopy showed the nodular sessile tumor in the bladder. We performed transurethral resection of the bladder tumor (TURBT) and histological examination revealed paraganglioma of the urinary bladder. Computed tomography (CT) and metaiodobenzylguanidine (MIBG) scintigraphy did not reveal any other lesions of paraganglioma. One month later, we performed a second TURBT, but the histological examination revealed no residual tumor. She has been followed up for 3 years after operation without any evidence of recurrence. Paraganglioma of the urinary bladder originates from chromaffin tissue of the sympathetic nervous system associated with the urinary bladder wall. For bladder submucosal tumor, we should consider bladder paraganglioma. And second TURBT is a useful option for the evaluation of the residual tumor.