PMID- 31966391 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200126 IS - 1936-2625 (Electronic) IS - 1936-2625 (Linking) VI - 10 IP - 10 DP - 2017 TI - A rare and easily misdiagnosed tumor of the urinary bladder: primary composite pheochromocytoma. PG - 10522-10530 AB - BACKGROUND: Composite pheochromocytoma, which is a tumor composed of ordinary pheochromocytoma and other components, is extremely rare in bladder. We present a case of this rarely seen tumor in bladder, and discuss the clinical features, behavior, pathologic findings, essentials of diagnosis and prognosis of this tumor after literature review. METHODS: Specimens from a 55-year-old woman with primary composite pheochromocytoma in bladder were analyzed by immunohistochemical (IHC) and fluorescence in situ hybridization (FISH). Clinicopathological characteristics were also collected and discussed. Then, we searched and reviewed literatures related with composite pheochromocytoma that were published in PubMed over the last 80 years. RESULTS: B-mode ultrasound scanner and Magnetic Resonance Imaging (MRI) detected a papillary and infiltrative tumor mass in the irregularly thickened posterior walls of the urinary bladder. Histologically, the tumor showed evidence of big ganglion-liked cells and small round cells in cystoscopy biopsy and typical "Zellballen" structure in gross specimen. On PubMed, a total of 58 cases of composite pheochromocytoma has been reported during 1933-2017. CONCLUSION: Composite pheochromocytoma in urinary bladder, which has distinctive clincopathologic features, is an extremely rare disease and can only be diagnosed by pathologists. Diagnosis is difficult before histopathological examination and should be considered in patients with no risk factors for usual bladder tumor. The rate of metastasis and death is higher in cases where the second component is not ganglioneuroma. Fortunately, treatment of this type of tumor remains the same as pheochromocytoma. Patients with localized tumors have an extremely favorable prognosis. CI - IJCEP Copyright (c) 2017. FAU - Hu, Wanming AU - Hu W AD - State Key Laboratory of Oncology in South China, Cancer Center, Sun Yat-sen University Guangzhou, China. AD - Pathology, Cancer Center, Sun Yat-sen University Guangzhou, China. AD - Collaborative Innovation Center for Cancer Medicine Guangdong, China. FAU - Huang, Jinlin AU - Huang J AD - State Key Laboratory of Oncology in South China, Cancer Center, Sun Yat-sen University Guangzhou, China. AD - Pathology, Cancer Center, Sun Yat-sen University Guangzhou, China. AD - Collaborative Innovation Center for Cancer Medicine Guangdong, China. FAU - Zhang, Yu AU - Zhang Y AD - State Key Laboratory of Oncology in South China, Cancer Center, Sun Yat-sen University Guangzhou, China. AD - Pathology, Cancer Center, Sun Yat-sen University Guangzhou, China. AD - Collaborative Innovation Center for Cancer Medicine Guangdong, China. FAU - Xi, Shaoyan AU - Xi S AD - State Key Laboratory of Oncology in South China, Cancer Center, Sun Yat-sen University Guangzhou, China. AD - Pathology, Cancer Center, Sun Yat-sen University Guangzhou, China. AD - Collaborative Innovation Center for Cancer Medicine Guangdong, China. FAU - Wu, Huiyu AU - Wu H AD - State Key Laboratory of Oncology in South China, Cancer Center, Sun Yat-sen University Guangzhou, China. AD - General, Cancer Center, Sun Yat-sen University Guangzhou, China. AD - Collaborative Innovation Center for Cancer Medicine Guangdong, China. FAU - Wu, Qiuliang AU - Wu Q AD - State Key Laboratory of Oncology in South China, Cancer Center, Sun Yat-sen University Guangzhou, China. AD - Pathology, Cancer Center, Sun Yat-sen University Guangzhou, China. AD - Collaborative Innovation Center for Cancer Medicine Guangdong, China. FAU - Wang, Wei AU - Wang W AD - Department of Pathology, Guangzhou General Hospital of Guangzhou Military Area Command of Chinese PLA Guangzhou, China. FAU - Zeng, Jing AU - Zeng J AD - State Key Laboratory of Oncology in South China, Cancer Center, Sun Yat-sen University Guangzhou, China. AD - Pathology, Cancer Center, Sun Yat-sen University Guangzhou, China. AD - Collaborative Innovation Center for Cancer Medicine Guangdong, China. LA - eng PT - Case Reports DEP - 20171001 PL - United States TA - Int J Clin Exp Pathol JT - International journal of clinical and experimental pathology JID - 101480565 PMC - PMC6965767 OTO - NOTNLM OT - Composite pheochromocytoma OT - FISH OT - IHC OT - bladder OT - diagnosis OT - ganglioneuroma OT - primary COIS- None. EDAT- 2017/10/01 00:00 MHDA- 2017/10/01 00:01 PMCR- 2017/10/01 CRDT- 2020/01/23 06:00 PHST- 2017/07/09 00:00 [received] PHST- 2017/09/08 00:00 [accepted] PHST- 2020/01/23 06:00 [entrez] PHST- 2017/10/01 00:00 [pubmed] PHST- 2017/10/01 00:01 [medline] PHST- 2017/10/01 00:00 [pmc-release] PST - epublish SO - Int J Clin Exp Pathol. 2017 Oct 1;10(10):10522-10530. eCollection 2017.