# Bladder Paraganglioma With Rapid Metastasis: A Case Report and Review of the Literature

## TL;DR

A rare case of bladder paraganglioma with rapid metastasis is reported, highlighting the importance of considering this tumor in patients with hematuria.

## Contribution

This case report adds to the limited literature on metastatic bladder paraganglioma and emphasizes social determinants affecting treatment.

## Key findings

- Bladder paraganglioma can metastasize rapidly within three months.
- Social determinants of health impacted the patient's ability to maintain medical appointments.
- Paraganglioma should be considered in the differential diagnosis of hematuria.

## Abstract

Bladder paragangliomas (bPGLs) are extremely rare tumors, and we present a unique case of metastatic bPGL that developed within three months. Frequently, these tumors are related to a hereditary syndrome due to germline mutations in succinate dehydrogenase B (SDHB). A unique challenge in this case was related to social determinants of health, which, in this patient, were associated with difficulty maintaining appointments. In treating a patient with hematuria, it is important to consider paraganglioma (PGL) as a differential diagnosis to optimize treatment.