Yao Xiaolin, Yuan Yufang, Fang Jiajie, Jiang Hai
Department of Urology, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310003, P.R. China.
Exp Ther Med. 2017 Oct;14(4):3519-3522. doi: 10.3892/etm.2017.4983. Epub 2017 Aug 21.
Urethral amyloidosis is a rare condition in which eosinophilic amyloid proteins are deposited in the urethra. Only a small number of reports on urethral amyloidosis have been published. Increased interest has been associated with this disease due to its clinical similarities with urothelial carcinoma. A biopsy of the lesion and a histological examination are essential for the correct diagnosis. Conservative management has been suggested by various urologists as the optimal treatment approach for urethral amyloidosis; however, recurrence and urethral stricture are common, and typically further treatment is required. Urethroplasty has been used in a limited number of urethral amyloidosis cases, with beneficial short-term outcomes; however, long-term follow-up data are lacking. The present case report describes the cases of 2 patients with urethral amyloidosis who underwent urethroplasty without recurrence or progression for >2 years. These findings indicate that urethroplasty is beneficial for the long-term management of urethral amyloidosis.
尿道淀粉样变性是一种罕见疾病,嗜酸性淀粉样蛋白沉积于尿道。关于尿道淀粉样变性的报道仅有少数发表。由于其与尿路上皮癌在临床上有相似之处,对该疾病的关注有所增加。病变活检及组织学检查对正确诊断至关重要。多位泌尿外科医生建议保守治疗作为尿道淀粉样变性的最佳治疗方法;然而,复发和尿道狭窄很常见,通常需要进一步治疗。尿道成形术已用于少数尿道淀粉样变性病例,短期效果良好;然而,缺乏长期随访数据。本病例报告描述了2例接受尿道成形术且2年多无复发或进展情况的尿道淀粉样变性患者。这些发现表明尿道成形术对尿道淀粉样变性的长期管理有益。