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Pheochromocytoma of the Bladder: Detection by a New Screening Test

Pheochromocytoma of the Bladder: Detection by a New Screening Test Abstract ORIGIN in the urinary bladder of a pheochromocytoma is an unusual experience of an uncommon neoplasm. Of all pheochromocytomas 5% to 10% are extra-adrenal1 and to date, 24 cases of this neoplasm in the bladder have been reported. While it is true that certain features of diagnostic import have been shown to predominate in patients with pheochromocytoma of the bladder,2preoperative substantiation is achieved by biochemical means. This confirmation is of more than academic interest when one considers the high mortality associated with surgical procedures on undiagnosed pheochromocytomas regardless of their location. Since 1950 when Engel and von Euler3 reported an increased urinary content of noradrenaline and adrenaline in two patients with pheochromocytoma, there has been an extensive recording of developments and assessments of biochemical tests for the diagnosis of this disease. One pressing need, however, remains unfulfilled. A clinicallly satisfactory screening test for pheochromocytoma has yet References 1. Pugh, R.C.B.; Gresham, G.A.; and Mullaney, J.: Pheochromocytoma of the Urinary Bladder , J Path Bact 79:89-107, 1960.Crossref 2. Lathem, J.E., and Hunt, L.D.: Pheochromocytoma of the Urinary Bladder , JAMA 197:588-590 ( (Aug 15) ) 1966.Crossref 3. Engel, A., and von Euler, U.S.: Diagnostic Value of Increased Urinary Output of Noradrenaline and Adrenaline in Phaeochromocytoma , Lancet 2:387, 1950.Crossref 4. Sandler, M., and Ruthven, C.R.J.: The Measurement of 4-Hydroxy-3-Methoxymandelic Acid and Homovanillic Acid , Pharmacol Rev 18:343-351, 1966. 5. Preston, J.A.: 3-Methoxy-4-Hydroxymandelic Acid (VMA) by Microfiber Chromatography , Clin Chem 13:19-25, 1967. 6. Brown, W.G., et al: Vanilmandelic Acid Screening Test for Pheochromocytoma and Neuroblastoma , Amer J Clin Path 46:599-602, 1966. 7. Sunderman, F.W., Jr.: Measurements of Vanilmandelic Acid for the Diagnosis of Pheochromocytoma and Neuroblastoma , Amer J Clin Path 42:481-497, 1964. 8. Zimmerman, I.J.; Biron, R.E.; and MacMahon, H.E.: Pheochromocytoma of the Urinary Bladder , New Eng J Med 249:25-26 ( (July 2) ) 1953.Crossref 9. Rosenberg, L.M.: Pheochromocytoma of the Urinary Bladder , New Eng J Med 257:1212-1215, 1957.Crossref 10. Farley, S.F., and Smith, C.L.: Unusual Location of Pheochromocytoma of the Urinary Bladder , J Urol 81:130-132, 1959. 11. Scott, W.W., and Eversole, S.L.: Pheochromocytoma of the Urinary Bladder , J Urol 83:656-664, 1960. 12. Berry, K.W., Jr., and Scott, E.V.: Pheochromocytoma of the Bladder , J Urol 85:156-158, 1961. 13. Sivak, G.C.: Pheochromocytoma of the Bladder , J Urol 86:568-571, 1961. 14. Tan, T., and Young, B.W.: Pheochromocytoma of the Bladder: Case Report , J Urol 87:63-67, 1962. 15. Micic, R.; Kicic, M.; and Adanja, S.: Pheochromocytoma of the Urinary Bladder , Acta Endocr 39:1-12, 1962. 16. Poirier, H., and Robinson, J.O.: Pheochromocytoma of the Urinary Bladder in a Male Patient , Brit J Urol 34:88-92, 1962.Crossref 17. Blair, D.W., and Brandwood, A.W.: Pheochromocytoma of the Urinary Bladder , Brit J Urol 35:293-296, 1963.Crossref 18. Van Bursick, E., et al: Pheochromocytoma of the Bladder , JAMA 196:293-294 ( (April 18) ) 1966.Crossref 19. Higgins, P.M., and Tresidder, G.C.: Pheochromocytoma of the Urinary Bladder , Brit Med J 2:274-277, 1966.Crossref 20. Moloney, G.E.; Cowdell, R.H.; and Lewis, C.L.: Malignant Pheochromocytoma of the Urinary Bladder , Brit J Urol 38:461-470, 1966.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Pheochromocytoma of the Bladder: Detection by a New Screening Test

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Publisher
American Medical Association
Copyright
Copyright © 1968 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1968.01330200092017
Publisher site
See Article on Publisher Site

Abstract

Abstract ORIGIN in the urinary bladder of a pheochromocytoma is an unusual experience of an uncommon neoplasm. Of all pheochromocytomas 5% to 10% are extra-adrenal1 and to date, 24 cases of this neoplasm in the bladder have been reported. While it is true that certain features of diagnostic import have been shown to predominate in patients with pheochromocytoma of the bladder,2preoperative substantiation is achieved by biochemical means. This confirmation is of more than academic interest when one considers the high mortality associated with surgical procedures on undiagnosed pheochromocytomas regardless of their location. Since 1950 when Engel and von Euler3 reported an increased urinary content of noradrenaline and adrenaline in two patients with pheochromocytoma, there has been an extensive recording of developments and assessments of biochemical tests for the diagnosis of this disease. One pressing need, however, remains unfulfilled. A clinicallly satisfactory screening test for pheochromocytoma has yet References 1. Pugh, R.C.B.; Gresham, G.A.; and Mullaney, J.: Pheochromocytoma of the Urinary Bladder , J Path Bact 79:89-107, 1960.Crossref 2. Lathem, J.E., and Hunt, L.D.: Pheochromocytoma of the Urinary Bladder , JAMA 197:588-590 ( (Aug 15) ) 1966.Crossref 3. Engel, A., and von Euler, U.S.: Diagnostic Value of Increased Urinary Output of Noradrenaline and Adrenaline in Phaeochromocytoma , Lancet 2:387, 1950.Crossref 4. Sandler, M., and Ruthven, C.R.J.: The Measurement of 4-Hydroxy-3-Methoxymandelic Acid and Homovanillic Acid , Pharmacol Rev 18:343-351, 1966. 5. Preston, J.A.: 3-Methoxy-4-Hydroxymandelic Acid (VMA) by Microfiber Chromatography , Clin Chem 13:19-25, 1967. 6. Brown, W.G., et al: Vanilmandelic Acid Screening Test for Pheochromocytoma and Neuroblastoma , Amer J Clin Path 46:599-602, 1966. 7. Sunderman, F.W., Jr.: Measurements of Vanilmandelic Acid for the Diagnosis of Pheochromocytoma and Neuroblastoma , Amer J Clin Path 42:481-497, 1964. 8. Zimmerman, I.J.; Biron, R.E.; and MacMahon, H.E.: Pheochromocytoma of the Urinary Bladder , New Eng J Med 249:25-26 ( (July 2) ) 1953.Crossref 9. Rosenberg, L.M.: Pheochromocytoma of the Urinary Bladder , New Eng J Med 257:1212-1215, 1957.Crossref 10. Farley, S.F., and Smith, C.L.: Unusual Location of Pheochromocytoma of the Urinary Bladder , J Urol 81:130-132, 1959. 11. Scott, W.W., and Eversole, S.L.: Pheochromocytoma of the Urinary Bladder , J Urol 83:656-664, 1960. 12. Berry, K.W., Jr., and Scott, E.V.: Pheochromocytoma of the Bladder , J Urol 85:156-158, 1961. 13. Sivak, G.C.: Pheochromocytoma of the Bladder , J Urol 86:568-571, 1961. 14. Tan, T., and Young, B.W.: Pheochromocytoma of the Bladder: Case Report , J Urol 87:63-67, 1962. 15. Micic, R.; Kicic, M.; and Adanja, S.: Pheochromocytoma of the Urinary Bladder , Acta Endocr 39:1-12, 1962. 16. Poirier, H., and Robinson, J.O.: Pheochromocytoma of the Urinary Bladder in a Male Patient , Brit J Urol 34:88-92, 1962.Crossref 17. Blair, D.W., and Brandwood, A.W.: Pheochromocytoma of the Urinary Bladder , Brit J Urol 35:293-296, 1963.Crossref 18. Van Bursick, E., et al: Pheochromocytoma of the Bladder , JAMA 196:293-294 ( (April 18) ) 1966.Crossref 19. Higgins, P.M., and Tresidder, G.C.: Pheochromocytoma of the Urinary Bladder , Brit Med J 2:274-277, 1966.Crossref 20. Moloney, G.E.; Cowdell, R.H.; and Lewis, C.L.: Malignant Pheochromocytoma of the Urinary Bladder , Brit J Urol 38:461-470, 1966.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Feb 1, 1968

References