Mizutani Y, Hashimura T, Kitayama T, Nonomura M
Department of Urology, Shimada City Hospital.
Hinyokika Kiyo. 1990 Apr;36(4):461-4.
A case of primary localized amyloidosis is reported. The patient was a 73-year-old female who suffered from miction pain and consulted our department. There was a 1.5 x 1.5 cm slightly red, nonpapillary tumor around the right ureteral orifice in cystoscopy. The diagnosis was amyloidosis with cystitis hemorrhagica histopathologically. After the treatment with antibiotics for about one month there were no symptoms and no tumors in the urinary bladder cystoscopically. The clinical course was relatively good. The treatment varies from transurethral resection to total cystectomy with urinary diversion. This case was cured by non-operative treatment, but close follow-up of the patient is necessary because of the frequency of multiple recurrence.
报告一例原发性局限性淀粉样变性病例。患者为73岁女性,因排尿疼痛前来我科就诊。膀胱镜检查发现右输尿管口周围有一个1.5×1.5厘米的微红、无乳头肿物。组织病理学诊断为伴有出血性膀胱炎的淀粉样变性。使用抗生素治疗约一个月后,膀胱镜检查显示无症状且膀胱内无肿物。临床病程相对良好。治疗方法从经尿道切除术到膀胱全切并尿流改道不等。该病例通过非手术治疗治愈,但由于复发频率较高,对患者进行密切随访是必要的。