一例类似伴有膀胱周围脂肪浸润的晚期膀胱癌的息肉样和乳头状膀胱炎病例。

A case of polypoid and papillary cystitis mimicking an advanced bladder carcinoma with invasion of perivesical fat.

作者信息

Ozaki Kumi, Kitagawa Kiyohide, Gabata Toshifumi, Matsui Osamu

机构信息

Department of Radiology, Kouseiren Takaoka Hospital, Takaoka, Japan ; Department of Radiology, Kanazawa University Graduate School of Medical Science, Ishikawa, Japan.

Department of Radiology, Kouseiren Takaoka Hospital, Takaoka, Japan.

出版信息

Urol Ann. 2014 Jan;6(1):72-4. doi: 10.4103/0974-7796.127016.

DOI:10.4103/0974-7796.127016

PMID:24669128

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3963349/

Abstract

A rare case of polypoid and papillary cystitis without a history of catheterization is reported. A 69-year-old man was admitted to our hospital because of pain during urination and gross hematuria. The cystscopic and imaging findings including ultrasound, CT, and MR image showed an irregular wall thickening and stranding in the perivesical fat, which indicated an advanced bladder carcinoma, but histopathological findings obtained by transurethral resection revealed polypoid and papillary cystitis. Such benign lesions need to be discussed in the differential diagnosis of patients with bladder tumor to avoid excessive resection.

摘要

报道了一例罕见的无导尿史的息肉样和乳头状膀胱炎病例。一名69岁男性因排尿时疼痛和肉眼血尿入院。膀胱镜检查及包括超声、CT和磁共振成像在内的影像学检查结果显示膀胱壁不规则增厚及膀胱周围脂肪条索状改变，提示为晚期膀胱癌，但经尿道切除获得的组织病理学结果显示为息肉样和乳头状膀胱炎。在膀胱肿瘤患者的鉴别诊断中需要讨论此类良性病变，以避免过度切除。