Moinzadeh Alireza, Latini Jerilyn, Hamawy Karim J
Department of Urology, Lahey Clinic, Burlington, Massachusetts, USA
Urology. 2003 Jul;62(1):145. doi: 10.1016/s0090-4295(03)00242-5.
A rare case of clear cell adenocarcinoma within a bladder diverticulum is presented. A 69-year-old man presented to our institution with gross hematuria. Workup, including computed tomography and cystoscopy, revealed a papillary bladder mass within a bladder diverticulum near the right ureteral orifice. Biopsy of the tumor was performed, and the pathologic examination revealed clear cell adenocarcinoma. He underwent bladder diverticulectomy and remained disease free at 1 year of follow-up. The clinicopathologic characteristics of this entity compared with its most difficult pathologic differential diagnosis, nephrogenic adenoma, are reviewed.
本文报告一例膀胱憩室内透明细胞腺癌的罕见病例。一名69岁男性因肉眼血尿就诊于我院。包括计算机断层扫描和膀胱镜检查在内的检查发现，右侧输尿管口附近的膀胱憩室内有一个乳头状膀胱肿物。对肿瘤进行了活检，病理检查显示为透明细胞腺癌。他接受了膀胱憩室切除术，随访1年无疾病复发。本文回顾了该实体的临床病理特征，并与最难鉴别的病理诊断——肾源性腺瘤进行了比较。
