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[弥漫性腺性膀胱炎]

[Florid glandular cystitis].

作者信息

Ghezala Wassim, Saidi Radhia, Lefi Mounir, Saad Hamadi

机构信息

Service de Chirurgie Urologique, CHU Fattouma Bourguiba, Monastir, Tunisie.

出版信息

Prog Urol. 2005 Dec;15(6):1141-4.

Abstract

INTRODUCTION

Florid glandular cystitis is a rare benign bladder tumour, which can simulate a malignant lesion.

MATERIAL AND METHODS

Over a period of fifteen years, we have observed one case of recurrent florid glandular cystitis.

RESULTS

This 48-year-old patient presented with terminal haematuria and right low back pain with a history of endoscopic resection of a bladder tumour. Ultrasound showed a solid mass of the bladder base. Intravenous urography showed bilateral uretero-caliceal dilatation, predominant on the right, with a filling defect of the bladder base. CT urography showed invasion of the vesicoprostatic fat and endoscopy revealed a trigonal tumour 5 cm in diameter. Histology concluded on florid glandular cystitis of the intestinal type. Improvement of the symptoms was observed on the fifth postoperative day after resection of the tumour.

CONCLUSION

Florid glandular cystitis is a rare benign bladder tumour. The diagnosis is based on clinical examination, radiology and histological examination. Treatment is essentially surgical.

摘要

引言

弥漫性腺性膀胱炎是一种罕见的膀胱良性肿瘤,可类似恶性病变。

材料与方法

在15年的时间里,我们观察到1例复发性弥漫性腺性膀胱炎病例。

结果

该48岁患者表现为终末血尿和右下腹疼痛,有膀胱肿瘤内镜切除史。超声显示膀胱底部有一实性肿块。静脉肾盂造影显示双侧输尿管肾盂扩张,以右侧为主,膀胱底部有充盈缺损。CT尿路造影显示膀胱前列腺周围脂肪受侵,内镜检查发现一个直径5 cm的三角区肿瘤。组织学诊断为肠型弥漫性腺性膀胱炎。肿瘤切除术后第5天症状有所改善。

结论

弥漫性腺性膀胱炎是一种罕见的膀胱良性肿瘤。诊断基于临床检查、影像学检查和组织学检查。治疗主要是手术治疗。

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