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CASE REPORT article

Front. Oncol.

Sec. Genitourinary Oncology

Volume 15 - 2025 | doi: 10.3389/fonc.2025.1593934

Synchronous Bladder and Retroperitoneal Paragangliomas: An Extremely Rare Entity

Provisionally accepted
Weitao  HuangWeitao HuangYiming  LiuYiming LiuMiaoping  ZhouMiaoping Zhou*
  • The Quzhou Affiliated Hospital of Wenzhou Medical University,Quzhou People’s Hospital, Quzhou, China

The final, formatted version of the article will be published soon.

Paragangliomas (PGLs) are rare neuroendocrine tumors originating from chromaffin cells. The synchronous occurrence of bladder and retroperitoneal PGLs is extremely rare. This case highlights the radiological features of dual-site PGLs and their potential for misdiagnosis as bladder cancer with retroperitoneal lymph node metastasis. A 59-year-old female patient was admitted with a 2-week history of abdominal distention. Imaging showed a highly vascularized 1.3 cm × 1.2 cm nodule on the right wall of the bladder and a retroperitoneal mass measuring 1.8 cm × 3.7 cm adjacent to the left side of the abdominal aorta. Postoperative pathological examination confirmed dual-site PGLs. The multifocal appearance and hypervascular characteristics of these tumors may lead to misdiagnosis as bladder cancer with metastasis.Recognizing the clinical, imaging (such as CT and MRI findings) , and pathological features is crucial for avoiding misdiagnosis and formulating an appropriate treatment plan.

Keywords: Paraganglioma, Bladder tumor, Retroperitoneal tumor, imaging, Surgery

Received: 14 Mar 2025; Accepted: 30 Jul 2025.

Copyright: © 2025 Huang, Liu and Zhou. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Miaoping Zhou, The Quzhou Affiliated Hospital of Wenzhou Medical University,Quzhou People’s Hospital, Quzhou, China

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