Pheochromocytoma of urinary bladder: robot-assisted resection
Z. H. Osmanov,
I. A. Solovyov,
A. V. Lisker,
A. V. Luft,
D. V. Macharoblishvili,
R. A. Movsesyan,
L. V. Korzhova,
P. A. Kapustina https://doi.org/10.14341/serg12952
Abstract
Pheochromocytoma (paraganglioma) is a hormonally active tumor originating from the chromaffin tissue of the sympathoadrenal system, secreting a large amount of catecholamines. In the overwhelming majority of cases, this tumor is located in the adrenal glands; however, as early as 1953, I.J. Zimmerman et al. first described a clinical observation of a paraganglioma of the bladder. Since then, there have been publications in the global literature regarding the treatment of around 250 cases of this pathology. The diagnosis of bladder pheochromocytoma is often made late, even in the presence of the typical clinical symptoms described above. Early diagnosis of neuroendocrine tumors in atypical locations can be achieved by conducting tests for catecholamines, chromogranin A, and metanephrines in blood and urine. Given the rarity of this location, the complexity of diagnosis, preparation for surgery, and intraoperative challenges, this topic remains relevant. The removal of bladder pheochromocytoma can be performed through a transabdominal approach using modern endovideosurgical technologies, particularly the da Vinci robotic system, which ensures rapid resection of the bladder and minimizes the intraoperative hypertensive crises that may arise. This article presents a clinical case of bladder pheochromocytoma with robotic-assisted tumor removal.
We present a case of urinary bladder pheochromocytoma with robot-assisted tumor resection.
About the Authors
Z. H. Osmanov
Pavlov First Saint Petersburg State Medical University; Mariinskyi Hospital
Russian Federation
Competing Interests:
Russian Federation
Zeinur H. Osmanov, MD, PhD
Leningrad Region, village of Staraya Pustosh, Dyagileva Street, 28
Competing Interests:
Авторы декларируют отсутствие явных
и потенциальных конфликтов интересов, связанных с содержанием настоящей статьи.
I. A. Solovyov
Mariinskyi Hospital
Russian Federation
Competing Interests:
Russian Federation
Ivan A. Solovyov, MD, PhD, Professor
Saint-Petersburg
Competing Interests:
Авторы декларируют отсутствие явных
и потенциальных конфликтов интересов, связанных с содержанием настоящей статьи.
A. V. Lisker
Pavlov First Saint Petersburg State Medical University
Russian Federation
Competing Interests:
Russian Federation
Anna V. Lisker, MD, PhD
Saint-Petersburg
Competing Interests:
Авторы декларируют отсутствие явных
и потенциальных конфликтов интересов, связанных с содержанием настоящей статьи.
A. V. Luft
Mariinskyi Hospital
Russian Federation
Competing Interests:
Russian Federation
Alexandr V. Luft, MD, PhD
Saint-Petersburg
Competing Interests:
Авторы декларируют отсутствие явных
и потенциальных конфликтов интересов, связанных с содержанием настоящей статьи.
D. V. Macharoblishvili
St. Petersburg State Pediatric Medical University; Mariinskyi Hospital
Russian Federation
Competing Interests:
Russian Federation
Dali V. Makharoblishvili, MD, PhD
Saint-Petersburg
Competing Interests:
Авторы декларируют отсутствие явных
и потенциальных конфликтов интересов, связанных с содержанием настоящей статьи.
R. A. Movsesyan
St. Petersburg State Pediatric Medical University; Mariinskyi Hospital
Russian Federation
Competing Interests:
Russian Federation
Ripsime A. Movsesyan
Saint-Petersburg
Competing Interests:
Авторы декларируют отсутствие явных
и потенциальных конфликтов интересов, связанных с содержанием настоящей статьи.
L. V. Korzhova
Pavlov First Saint Petersburg State Medical University
Russian Federation
Competing Interests:
Russian Federation
Lada V. Korzhova
Saint-Petersburg
Competing Interests:
Авторы декларируют отсутствие явных
и потенциальных конфликтов интересов, связанных с содержанием настоящей статьи.
P. A. Kapustina
North-Western State Medical University named after I.I. Mechnikov
Russian Federation
Competing Interests:
Russian Federation
Polina A. Kapustina
Saint-Petersburg
Competing Interests:
Авторы декларируют отсутствие явных
и потенциальных конфликтов интересов, связанных с содержанием настоящей статьи.
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1. Рисунок 1, 2. МРТ ОБП: новообразование продолговатой формы, с четкими ровными контурами, размерами 1,6 х 2,5 х 2,4 см с признаками истинной рестрикции диффузии, интенсивно гомогенно накапливающее контраст. | |
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2. Рисунок 3. Выделение образования задней стенки мочевого пузыря. | |
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3. Рисунок 4. Препарат резецированного образования. | |
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4. Рисунок 5. Стент через просвет дефекта слизистой мочевого пузыря. | |
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5. Рисунок 6–8. Ушивание стенки мочевого пузыря. | |
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For citations:
Osmanov Z.H., Solovyov I.A., Lisker A.V., Luft A.V., Macharoblishvili D.V., Movsesyan R.A., Korzhova L.V., Kapustina P.A. Pheochromocytoma of urinary bladder: robot-assisted resection. Endocrine Surgery. 2025;19(3):47-53. (In Russ.) https://doi.org/10.14341/serg12952
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