Nephroquiz 8: Perioperative Management of Paraganglioma (Nephroquiz)

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MAHMOUDIEH LEILA; Saeedinia Arezoo; AHMADPOOR PEDRAM; Temannaie Zeinab; PARVIN MAHMOUD; Torbati Peyman; Mirdamadi Mohammad Hossein; NAFAR MOHSEN

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Journal: Iranian Journal of Kidney Diseases Year:2015 | Volume:9 | Issue:3 Page(s): 259-262

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Title

Nephroquiz 8: Perioperative Management of Paraganglioma (Nephroquiz)

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Abstract

A 32-year-old woman was admitted because of severe uncontrolled hypertension associated with intermittent headache, diaphoresis, and blurred vision. She had a 3-year history of hypertension. Her symptoms were worsened by urination. Physical examination revealed a blood pressure of 155/120 mm Hg and bilateral papilledema. The tilt test was negative. Bruit over the renal artery was not audible. Laboratory examinations are shown in the Table. Abdominopelvic computed tomography showed lymphadenopathy in the celiac region and a 23-mm enhancing lesion in the bladder floor. No mass lesions were seen in the adrenal glands. Abdominopelvic magnetic resonance imaging confirmed computed tomography findings (Figure 1). Metaiodobenzylguanidine scan was negative. A 2. 5 × 2. 5 × 1-cm mass was completely removed laparoscopically. Pathologic report concluded urothelial mucosa with submucosal neoplasm composed of monomorphic polygonal cells with central round nuclei. Fine speckled chromatin and marked nucleoli as well as granular eosinophilic cytoplasm arranged as nest formation. No obvious mitotic figures were seen. Diagnosis of paraganglioma was confirmed with chromogranin and synaptophysin immunohistochemical staining (Figure 2).

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APA: Copy

MAHMOUDIEH, LEILA, Saeedinia, Arezoo, AHMADPOOR, PEDRAM, Temannaie, Zeinab, PARVIN, MAHMOUD, Torbati, Peyman, Mirdamadi, Mohammad Hossein, & NAFAR, MOHSEN. (2015). Nephroquiz 8: Perioperative Management of Paraganglioma (Nephroquiz). IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD), 9(3), 259-262. SID. https://sid.ir/paper/309532/en

Vancouver: Copy

MAHMOUDIEH LEILA, Saeedinia Arezoo, AHMADPOOR PEDRAM, Temannaie Zeinab, PARVIN MAHMOUD, Torbati Peyman, Mirdamadi Mohammad Hossein, NAFAR MOHSEN. Nephroquiz 8: Perioperative Management of Paraganglioma (Nephroquiz). IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD)[Internet]. 2015;9(3):259-262. Available from: https://sid.ir/paper/309532/en

IEEE: Copy

LEILA MAHMOUDIEH, Arezoo Saeedinia, PEDRAM AHMADPOOR, Zeinab Temannaie, MAHMOUD PARVIN, Peyman Torbati, Mohammad Hossein Mirdamadi, and MOHSEN NAFAR, “Nephroquiz 8: Perioperative Management of Paraganglioma (Nephroquiz),” IRANIAN JOURNAL OF KIDNEY DISEASES (IJKD), vol. 9, no. 3, pp. 259–262, 2015, [Online]. Available: https://sid.ir/paper/309532/en

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