经尿道2 μm激光治疗无症状膀胱副神经节瘤长期随访1例并文献复习

Transurethral Resection of Asymptomatic Bladder Paraganglioma via 2 μm Laser with Long-Term Follow up and Literature Review

无症状型膀胱副神经节瘤临床罕见,缺乏典型的临床表现,术前诊断较困难。作者报道了一例20岁的女性患者,因“体检发现膀胱肿物1周”入院,入院时血压正常,无肉眼血尿。术前经彩超、泌尿系CT平扫 + 增强检查考虑诊断为乳头状瘤。完善检查后行经尿道膀胱肿物2 µm激光切除术,手术顺利,术中术后无并发症。术后病理提示:膀胱副神经节瘤。现已随访5年,未见复发转移。

Asymptomatic bladder paraganglioma is rare and difficult to diagnose before operation. We re-ported a 20-year-old female patient who was admitted to hospital due to a bladder mass found when she had body check annually. No hypertension and hematuria was found. After ultrasound and CT scan of urinary tract, she was diagnosed as papillary bladder tumor. Transurethral resection of the bladder tumor via 2 µm laser was performed after proper preoperative examination. Operation was successful and had no intraoperative or postoperative complications. Histology and immunohistochemistry of the tumor were consistent with bladder paraganglioma. We have fol-lowed the patient for more than 5 years and no recurrence and metastasis occurred.