case_images: PMC10578403_01
case_images: Magnetic resonance imaging pelvis with and without gadolinium. 1.9 x 1.6 x 1.3 cm well-circumscribed, heterogeneously T2 hyperintense, T1 isointense to muscle, enhancing lesion with peripheral diffusion restriction, and central cystic degeneration is seen within the right superior lateral aspect of the bladder wall.
case_images: luac026f1.jpg
case_images: PMC10578403_01_luac026f1.jpg
case_images: luac026-F1
case_images: It revealed a well-circumscribed enhancing mass measuring up to 1.9 cm located in the right superior lateral aspect of the urinary bladder (Fig. 1).
case_images: Positron emission tomography-computed tomography scan with DOTATATE staging. Increased tracer uptake in the right superolateral region of the urinary bladder.
case_images: luac026f2.jpg
case_images: PMC10578403_01_luac026f2.jpg
case_images: luac026-F2
case_images: Ga-DOTATATE PET-CT revealed increased uptake in the region of the known mass without findings of metastasis (Fig. 2). Genetic testing revealed c.91C > T (p.R31*) mutation in 1 copy of the succinate dehydrogenase A (SDHA) gene, consistent with paraganglioma syndrome 5.