Abstract:
BACKGROUND:Paraganglioma (extra-adrenal pheochromocytoma) of the bladder is a very rare disease, accounting for 0.06% of all bladder tumors. Optimal management of bladder paraganglioma before kidney transplantation is unknown. We report a case of partial cystectomy for urinary bladder paraganglioma before living kidney transplantation. CASE PRESENTATION:A 59-year-old man with a 27-year history of hemodialysis was referred to our department for further examination of a bladder tumor detected during pre-transplantation testing. Cystoscopy revealed a submucosal tumor on the right side of the bladder. The patient experienced a hypertensive crisis during transurethral resection of the bladder tumor. Endocrinologic and pathologic examinations confirmed the diagnosis of paraganglioma in the urinary bladder. A partial cystectomy was performed before kidney transplantation. Nine months after partial cystectomy, the patient underwent AB0-incompatible living kidney transplantation from his spouse. No disease recurrence or graft rejection was observed 12 months after the transplantation. CONCLUSIONS:To our knowledge, this is the 1st report on the management of paraganglioma in the urinary bladder before living kidney transplantation. Kidney transplantation after partial cystectomy is an option that may be considered in patients with paraganglioma of the urinary bladder, with careful observations of bladder function and vesicoureteral reflux to the grafts.
journal_name
Transplant Procjournal_title
Transplantation proceedingsauthors
Kido K,Hatakeyama S,Hamano I,Yamamoto H,Imai A,Yoneyama T,Hashimoto Y,Koie T,Fujita T,Murakami R,Tomita H,Suzuki T,Narumi S,Ohyama Cdoi
10.1016/j.transproceed.2018.01.015subject
Has Abstractpub_date
2018-04-01 00:00:00pages
898-901issue
3eissn
0041-1345issn
1873-2623pii
S0041-1345(18)30047-2journal_volume
50pub_type
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