Touffahi Mounir, Fredj Nessim, Lefi Mounir, Hafsa Chiraz, Hallara Wadia, Moussa Adrien, Saad Hamadi
Service d'urologie CHU Fattouma Bourguiba Monastir, Tunisie.
Prog Urol. 2007 Sep;17(5):968-72. doi: 10.1016/s1166-7087(07)92399-4.
To analyse diagnosis, management and prognosis of florid cystitis glandularis (pseudoneplastic entity).
A retrospective study of 6 consecutive patients with florid cystitis glandularis seen at the department of Urology of Monastir (Tunisia) from January 1996 to July 2006. All patients underwent ultrasonography, and cystoscopy. Computed tomography (CT) was performed in four patients and magnetic resonance imaging (MRI) in one patient.
The six patients, all of whom were male, ranged from 22 to 68 (average 42) years of age. The most common complaints was haematuria. Radiological examination and cystoscopy suggested a bladder tumor in all patients. Histopathology revealed features of cystitis glandularis of intestinal type. Features of the pelvic CT and MRI were consistent with the diagnosis of pelvic lipomatosis in one patient. The endoscopic resection was performed in 5 patients. Recurrence occurred in one of these 5 patients within one and 7 years of follow-up. The other patient had developed a low compliance small-capacity bladder and bilateral ureteral obstruction. A total cystoprostatectomy and ileal neobladder construction was considered, but it was declined by the patient. The patient was treated with anti-inflammatory drug (Indometacine 100 mg/day).
Cystitis glandularis may be mistaken for bladder tumor The diagnosis is histological. Treatment is based on eradication of the irritative factors and endoscopic resection of the tumoral masses. The clinical course is unclear, requiring long-term fellow-up.
分析腺性膀胱炎（假肿瘤性病变）的诊断、治疗及预后。
对1996年1月至2006年7月在突尼斯莫纳斯提尔泌尿外科就诊的6例腺性膀胱炎患者进行回顾性研究。所有患者均接受了超声检查及膀胱镜检查。4例患者进行了计算机断层扫描（CT），1例患者进行了磁共振成像（MRI）检查。
6例患者均为男性，年龄在22至68岁之间（平均42岁）。最常见的症状是血尿。影像学检查及膀胱镜检查提示所有患者均为膀胱肿瘤。组织病理学显示为肠型腺性膀胱炎特征。盆腔CT和MRI检查结果显示1例患者符合盆腔脂肪过多症的诊断。5例患者接受了内镜下切除术。这5例患者中有1例在随访1年和7年内复发。另1例患者出现膀胱顺应性降低、容量减小及双侧输尿管梗阻。考虑进行全膀胱前列腺切除术及回肠新膀胱术，但患者拒绝。该患者接受了抗炎药物治疗（吲哚美辛100毫克/天）。
腺性膀胱炎可能被误诊为膀胱肿瘤，诊断依靠组织学检查。治疗基于消除刺激因素及对肿瘤肿块进行内镜下切除。临床病程尚不清楚，需要长期随访。
