Sözen Sinan, Gürocak Serhat, Uzüm Nükhet, Biri Hasan, Memiş Leyla, Bozkirli Ibrahim
Department of Urology, Gazi University School of Medicine, Tandoğan, Turkey.
Urol Oncol. 2004 Sep-Oct;22(5):428-30. doi: 10.1016/j.urolonc.2004.04.034.
Pelvic lipomatosis is a rare, proliferative disease involving an overgrowth of normal fat in the pelvic retroperitoneal space. Cystitis glandularis, cystitis cystica, or cystitis follicularis can be observed in 75% of patients with pelvic lipomatosis. We describe a 58-yr-old man with pelvic lipomatosis in whom adenocarcinoma of the bladder was diagnosed in the second transurethral resection of the bladder 1 month after the first operation. This proliferative disease can cause obstruction of the bladder drainage leading to a proliferative cystitis because of an altered environment rich in protein fluid. Because the association of this proliferative disease with adenocarcinoma of the bladder is frequent, we recommend close follow-up of these patients to detect the associated adenocarcinoma of the bladder.
盆腔脂肪增多症是一种罕见的增殖性疾病，涉及盆腔腹膜后间隙正常脂肪的过度生长。在75%的盆腔脂肪增多症患者中可观察到腺性膀胱炎、囊性膀胱炎或滤泡性膀胱炎。我们描述了一名58岁患有盆腔脂肪增多症的男性，在首次手术后1个月进行的第二次经尿道膀胱切除术中被诊断为膀胱腺癌。这种增殖性疾病可导致膀胱引流受阻，由于富含蛋白质液体的环境改变而导致增殖性膀胱炎。由于这种增殖性疾病与膀胱腺癌的关联很常见，我们建议对这些患者进行密切随访，以检测相关的膀胱腺癌。
