Ghezala Wassim, Saidi Radhia, Lefi Mounir, Saad Hamadi
Service de Chirurgie Urologique, CHU Fattouma Bourguiba, Monastir, Tunisie.
Prog Urol. 2005 Dec;15(6):1141-4.
Florid glandular cystitis is a rare benign bladder tumour, which can simulate a malignant lesion.
Over a period of fifteen years, we have observed one case of recurrent florid glandular cystitis.
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.
Florid glandular cystitis is a rare benign bladder tumour. The diagnosis is based on clinical examination, radiology and histological examination. Treatment is essentially surgical.
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。
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。
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。
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。