篇名 | Diagnosis and Treatment of Malignant Extra-adrenal Pheochromocytoma with Presentation of Bone Pain and Low Urinary Tract Symptoms: A Case Report |
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卷期 | 20:4 |
並列篇名 | 診斷並治療以骨頭疼痛及下泌尿道症狀為表現之惡性腎上腺外嗜鉻細胞瘤:病例報告 |
作者 | 黃志平 、 何君彥 、 蘇重光 、 程千里 、 楊啟瑞 、 葉致昌 |
頁次 | 184-186 |
關鍵字 | 腎上腺外嗜鉻細胞瘤 、 膀胱腫瘤 、 化學治療 、 Extra-adrenal pheochromocytoma 、 Bladder tumor 、 Chemotherapy |
出刊日期 | 200912 |
This report describes an extremely rare case of malignant extra-adrenal pheochromocytoma of urinary bladder with multiple bone metastases in a hormonally inactive 38-year-old man, who initially presented as right shoulder pain, frequency, dysuria and microhematuria. A combined-modality treatment plan of partial cystectomy with post-operative palliative radiotherapy for bone pain and subsequent systemic chemotherapy with cyclophosphamide, vincristine, and dacarbazine (CVD) was performed. Although the patient survived the surgical intervention and the cytotoxic chemotherapy for at least 9 months, the bone metastatic lesions showed unsatisfied response after undergoing 3 courses of CVD chemotherapy.