Department of Urology, Hebei General Hospital, Shijiazhuang, China.
J Int Med Res. 2020 Oct;48(10):300060520940452. doi: 10.1177/0300060520940452.
We herein present a case involving a 23-year-old woman with gross hematuria. Cystoscopy revealed abnormal areas of the mucosa along the anterior and posterior bladder walls. These abnormalities were suspicious for neoplasia; however, a diagnosis was not established by subsequent biopsy. The patient underwent transurethral resection biopsy in which an isolated lesion along the anterior wall was completely resected and the others were left untreated. Pathologic examination and special staining led to a diagnosis of amyloidosis, and the patient elected to undergo transurethral surgery 1 month later. During the operation, the intravesical lesions were found to have significantly improved in both the treated and untreated sites. The operation was cancelled, follow-up was arranged, and no other treatment was administered. Repeat cystoscopy examinations at 3 and 9 months after surgery showed that the lesions had almost completely disappeared.
我们在此报告一例 23 岁女性患者，主因肉眼血尿就诊。膀胱镜检查发现膀胱前壁和后壁黏膜有异常区域。这些异常区域疑似肿瘤，但随后的活检并未明确诊断。患者接受了经尿道电切术，其中前壁的孤立病变完全切除，其他病变未予处理。病理检查和特殊染色提示为淀粉样变性，患者选择在 1 个月后接受经尿道手术。术中发现膀胱内病变在治疗和未治疗部位均明显改善。手术取消，安排了随访，未给予其他治疗。术后 3 个月和 9 个月时的重复膀胱镜检查显示，病变几乎完全消失。
