Paraurachal paraganglioma

Introduction Paragangliomas (PGLs) are frequently reported around the abdominal aorta; however, are extremely rare near the urachus. Case presentation A 78‐year‐old woman was referred to the urology department of our hospital for further examination and treatment of a 1.2‐cm tumor in the lower abdom...

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Main Authors: Masafumi Tsuruta, Takayuki Goto, Jin Kono, Yuki Kita, Kimihiko Masui, Takeshi Sano, Masakazu Fujimoto, Atsuro Sawada, Shusuke Akamatsu, Takashi Kobayashi
Format: Article
Language:English
Published: Wiley 2022-09-01
Series:IJU Case Reports
Subjects:
Online Access:https://doi.org/10.1002/iju5.12488
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author Masafumi Tsuruta
Takayuki Goto
Jin Kono
Yuki Kita
Kimihiko Masui
Takeshi Sano
Masakazu Fujimoto
Atsuro Sawada
Shusuke Akamatsu
Takashi Kobayashi
author_facet Masafumi Tsuruta
Takayuki Goto
Jin Kono
Yuki Kita
Kimihiko Masui
Takeshi Sano
Masakazu Fujimoto
Atsuro Sawada
Shusuke Akamatsu
Takashi Kobayashi
author_sort Masafumi Tsuruta
collection DOAJ
description Introduction Paragangliomas (PGLs) are frequently reported around the abdominal aorta; however, are extremely rare near the urachus. Case presentation A 78‐year‐old woman was referred to the urology department of our hospital for further examination and treatment of a 1.2‐cm tumor in the lower abdominal wall, a tumor excision was then performed. On immunohistochemical staining, the tumor and supporting cells were positive for chromogranin A and the S 100 protein, respectively, and were diagnosed as PGL. The PGL was thought to be derived from chromaffin cells that migrated to the wall of the urachus during embryonic life and remained even after the wall regressed. Conclusion We report a case of PGL near the urachus that can be explained by the distribution of the sympathetic network around the midline of the lower abdominal wall during embryonic development. Therefore, PGL should be considered in the differential diagnosis of periurachal tumors.
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spelling doaj.art-a32bac606dd845e8ac6db8b91cf547542022-12-22T02:12:24ZengWileyIJU Case Reports2577-171X2022-09-015535836110.1002/iju5.12488Paraurachal paragangliomaMasafumi Tsuruta0Takayuki Goto1Jin Kono2Yuki Kita3Kimihiko Masui4Takeshi Sano5Masakazu Fujimoto6Atsuro Sawada7Shusuke Akamatsu8Takashi Kobayashi9Department of Urology Kyoto University Hospital Kyoto JapanDepartment of Urology Kyoto University Hospital Kyoto JapanDepartment of Urology Kyoto University Hospital Kyoto JapanDepartment of Urology Kyoto University Hospital Kyoto JapanDepartment of Urology Kyoto University Hospital Kyoto JapanDepartment of Urology Kyoto University Hospital Kyoto JapanDepartment of Diagnostic Pathology Kyoto University Hospital Kyoto JapanDepartment of Urology Kyoto University Hospital Kyoto JapanDepartment of Urology Kyoto University Hospital Kyoto JapanDepartment of Urology Kyoto University Hospital Kyoto JapanIntroduction Paragangliomas (PGLs) are frequently reported around the abdominal aorta; however, are extremely rare near the urachus. Case presentation A 78‐year‐old woman was referred to the urology department of our hospital for further examination and treatment of a 1.2‐cm tumor in the lower abdominal wall, a tumor excision was then performed. On immunohistochemical staining, the tumor and supporting cells were positive for chromogranin A and the S 100 protein, respectively, and were diagnosed as PGL. The PGL was thought to be derived from chromaffin cells that migrated to the wall of the urachus during embryonic life and remained even after the wall regressed. Conclusion We report a case of PGL near the urachus that can be explained by the distribution of the sympathetic network around the midline of the lower abdominal wall during embryonic development. Therefore, PGL should be considered in the differential diagnosis of periurachal tumors.https://doi.org/10.1002/iju5.12488chromaffin cellsparagangliomaurachus
spellingShingle Masafumi Tsuruta
Takayuki Goto
Jin Kono
Yuki Kita
Kimihiko Masui
Takeshi Sano
Masakazu Fujimoto
Atsuro Sawada
Shusuke Akamatsu
Takashi Kobayashi
Paraurachal paraganglioma
IJU Case Reports
chromaffin cells
paraganglioma
urachus
title Paraurachal paraganglioma
title_full Paraurachal paraganglioma
title_fullStr Paraurachal paraganglioma
title_full_unstemmed Paraurachal paraganglioma
title_short Paraurachal paraganglioma
title_sort paraurachal paraganglioma
topic chromaffin cells
paraganglioma
urachus
url https://doi.org/10.1002/iju5.12488
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