Oka N, Fukumori T, Takahashi M, Kanayama H, Kagawa S
Department of Urology, The University of Tokushima School of Medicine, Tokushima, Japan.
Int J Urol. 2001 Jun;8(6):330-2. doi: 10.1046/j.1442-2042.2001.00309.x.
Bladder involvement in amyloidosis is unusual. The case of an 80-year-old man with macroscopic hematuria caused by secondary amyloidosis of the bladder is described. Cystoscopic examination revealed only a diffuse edematous area and bleeding. No tumor-like lesions were identified. Transurethral biopsy revealed amyloid deposits. Macroscopic hematuria disappeared spontaneously after cystoscopy and bladder biopsy. The patient has been followed up without treatment and is currently free of symptoms.
膀胱受累于淀粉样变性并不常见。本文描述了一例80岁男性因膀胱继发性淀粉样变性导致肉眼血尿的病例。膀胱镜检查仅发现一个弥漫性水肿区域并有出血。未发现肿瘤样病变。经尿道活检显示有淀粉样沉积物。膀胱镜检查和膀胱活检后肉眼血尿自行消失。该患者未经治疗进行随访,目前无症状。