Nesbitt Alexander Luke, Khan Munad, Hoag Nathan, Lokan Julie
Department of Urology, Cairns Hospital, Cairns, Queensland, Australia.
Department of Urology, Austin Health, Heidelberg, Victoria, Australia.
BMJ Case Rep. 2018 Jul 18;2018:bcr-2018-225414. doi: 10.1136/bcr-2018-225414.
We report the case of a 46-year-old man who initially presented with macroscopic haematuria. Although initially concerning for a malignancy in the bladder, histology demonstrated a primary bladder amyloidosis that has remained stable for 6 years since the initial diagnosis. Primary bladder amyloidosis is an important clinical entity that can mimic bladder malignancy on clinical history, radiological investigation and cystoscopic evaluation. Although uncommon, it should not be neglected as a possible diagnosis in patients presenting with haematuria.
我们报告了一例46岁男性患者，其最初表现为肉眼血尿。尽管最初怀疑是膀胱恶性肿瘤，但组织学检查显示为原发性膀胱淀粉样变，自首次诊断以来已稳定6年。原发性膀胱淀粉样变是一种重要的临床病症，在临床病史、影像学检查和膀胱镜评估中可能会被误诊为膀胱恶性肿瘤。虽然不常见，但对于出现血尿的患者，不应忽视将其作为一种可能的诊断。
