Okuno T, Hayashi N, Sugimura Y, Tazima K, Tochigi H, Kawamura J, Hamano K
Department of Urology, Mie University School of Medicine.
Hinyokika Kiyo. 1989 Sep;35(9):1597-600.
A 57-year-old woman visited the Mie University Hospital with the complaint of lower abdominal pain on December 2, 1987. Cystoscopic examination revealed a non-papillary tumor with a broad base in the left posterior wall. A diagnosis was made by biopsy of the bladder epithelium. Amyloid fibrils were confirmed in the biopsy specimen with polarization and electron microscopies. Symptomatic secondary amyloidosis of the bladder is very rare. To date, only 15 cases have been reported in the American and European literatures. This seems to be the first case reported in Japan.
1987年12月2日，一名57岁女性因下腹部疼痛前往三重大学医院就诊。膀胱镜检查发现左后壁有一个基底较宽的非乳头状肿瘤。通过膀胱上皮活检做出诊断。经偏振光显微镜和电子显微镜检查，在活检标本中证实有淀粉样纤维。膀胱症状性继发性淀粉样变非常罕见。迄今为止，美国和欧洲文献中仅报道了15例。这似乎是日本报道的首例病例。
