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膀胱原发性淀粉样变性误诊为可能的恶性肿瘤:一例报告

Primary amyloidosis of the bladder mimicking probable malignancy: A case report.

作者信息

Patel Puja, Pourmandi Mohammad, Lombard Jeffrey S

机构信息

Nova Southeastern University Kiran C. Patel College of Osteopathic Medicine, 3301 College Avenue, Fort Lauderdale, FL, USA.

Department of Urology, Largo Medical Center, 201 14th St SW, Largo, FL, USA.

出版信息

Urol Case Rep. 2019 Jun 12;26:100944. doi: 10.1016/j.eucr.2019.100944. eCollection 2019 Sep.

Abstract

Primary amyloidosis of the bladder is a rare clinical occurrence, with only a limited number of cases documented in literature thus far. Herein, is the presentation of a case involving a 75 year old male who presented with painless gross hematuria. Subsequent laboratory results and imaging completed were misleading, creating a high suspicion for bladder malignancy. Further workup revealed bladder biopsies to have positive apple-green birefringence with Congo-red immunostaining, diagnostic of amyloidosis.

摘要

膀胱原发性淀粉样变性是一种罕见的临床病症,迄今为止文献中记载的病例数量有限。本文介绍了一例病例,患者为一名75岁男性,表现为无痛性肉眼血尿。随后完成的实验室检查结果和影像学检查具有误导性,高度怀疑为膀胱恶性肿瘤。进一步检查发现膀胱活检刚果红免疫染色呈阳性苹果绿双折射,确诊为淀粉样变性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6d1/6597786/4f0792d2c6ff/egi10VG6VDCVP5.jpg

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