Paraganglioma of the Urinary Bladder – A Diagnostic Dilemma
Published: November 1, 2018 | DOI: https://doi.org/10.7860/JCDR/2018/37738.12243
Bhaskar Smitha, Koppalkar Kiran Rachana, Pai Muktha Ramesh
1. Postgraduate student, Department of Pathology, A.J Institute of Medical Sciences, Mangalore, Karnataka, India.
2. Postgraduate Student, Department of Pathology, A.J Institute of Medical Sciences, Mangalore, Karnataka, India.
3. Professor, Department of Pathology, A.J Institute of Medical Sciences, Mangalore, Karnataka, India.
Correspondence
Dr. Bhaskar Smitha,
Manasmitha House, Kangila Road, Ukkinadka, Via Perla-671552, Kasaragod, Kerala, India.
E-mail: smithabhaskar00@gmail.com
Paraganglioma of the urinary bladder is a unique neuroendocrine tumour originating from chromaffin tissue of the sympathetic nervous system. Clinically, patients may be asymptomatic or may present with hypertension or haematuria. Imaging features may suggest urothelial carcinoma. An uncommon case of a silent paraganglioma of the urinary bladder in an elderly female is documented here, who presented with a single episode of haematuria. Transurethral resection biopsy was performed with suspicion of malignancy. Histopathological evaluation revealed paraganglioma of the urinary bladder, which was confirmed by immunohistochemistry. These tumours require complete surgical excision and should be included in the differential diagnosis of any solitary bladder mass.
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