Episodic Hypertension With an Adrenal Mass: A Red Herring

A 66-year-old man with symptomatic hypertensive episodes was found to have a 9-mm adrenal mass and elevated metanephrine levels. He was scheduled for an adrenalectomy for suspected pheochromocytoma. Subsequent workup revealed a large bladder mass which was found to be a paraganglioma. There is no co...

Full description

Bibliographic Details
Main Authors: Carter J. Neugarten, Nikolai A. Sopko, Debasish Sundi, Jen-Jane Liu, Trinity J. Bivalacqua
Format: Article
Language:English
Published: Elsevier 2014-11-01
Series:Urology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442014001235
Description
Summary:A 66-year-old man with symptomatic hypertensive episodes was found to have a 9-mm adrenal mass and elevated metanephrine levels. He was scheduled for an adrenalectomy for suspected pheochromocytoma. Subsequent workup revealed a large bladder mass which was found to be a paraganglioma. There is no consensus on what should be considered the standard management of primary bladder paraganglioma, including surgical technique, assessment of malignancy, and appropriate follow-up, owing to the rarity of the diagnosis.
ISSN:2214-4420