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膀胱囊肿和腺性膀胱炎导致一名29岁男性出现下尿路症状

Cystitis Cystica Et Glandularis Causing Lower Urinary Tract Symptoms in a 29-Year-Old Male.

作者信息

Son Young, Madison Ian, Scali Julia, Chialastri Paul, Brown Gordon

机构信息

Urology, Rowan University School of Osteopathic Medicine, Stratford, USA.

Urology, Philadelphia College of Osteopathic Medicine, Philadelphia, USA.

出版信息

Cureus. 2021 Aug 13;13(8):e17144. doi: 10.7759/cureus.17144. eCollection 2021 Aug.

DOI:10.7759/cureus.17144
PMID:34548967
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8437016/
Abstract

We present the case of a 29-year-old male who presented to the office with three years of persistent lower urinary tract symptoms and hematuria. On workup, the patient was determined to have an atypical condition contributing to his symptoms. There are numerous causes of lower urinary tract symptoms that can occur in young men. These symptoms, including frequency, urgency, dysuria, and hematuria, are typically caused by common benign conditions such as urethritis, urolithiasis, and urinary tract infections. Prostatic pathology does not typically manifest in this population. Likewise, a more serious condition such as a mass or carcinoma may contribute to persistent lower urinary tract symptoms and hematuria less often in young men. In our patient, a benign mass later identified as cystitis cystica et glandularis was discovered to be contributing to his reported discomfort.

摘要

我们报告了一例29岁男性病例,该患者因持续三年的下尿路症状和血尿前来就诊。经检查,确定该患者有一种导致其症状的非典型病症。年轻男性下尿路症状有多种病因。这些症状,包括尿频、尿急、尿痛和血尿,通常由尿道炎、尿路结石和尿路感染等常见良性疾病引起。前列腺病变在该人群中通常不表现出来。同样,诸如肿块或癌症等更严重的病症在年轻男性中导致持续性下尿路症状和血尿的情况较少见。在我们的患者中,后来发现一个良性肿块,即腺性膀胱炎,是导致其自述不适的原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbf7/8437016/84e2d0c941c6/cureus-0013-00000017144-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbf7/8437016/6fe611388db7/cureus-0013-00000017144-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbf7/8437016/29744fd39594/cureus-0013-00000017144-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbf7/8437016/645dc6a5090c/cureus-0013-00000017144-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbf7/8437016/84e2d0c941c6/cureus-0013-00000017144-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbf7/8437016/6fe611388db7/cureus-0013-00000017144-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbf7/8437016/29744fd39594/cureus-0013-00000017144-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbf7/8437016/645dc6a5090c/cureus-0013-00000017144-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbf7/8437016/84e2d0c941c6/cureus-0013-00000017144-i04.jpg

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本文引用的文献

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Incidence of adenocarcinoma bladder in patients with cystitis cystica et glandularis: A retrospective study.腺性膀胱炎患者膀胱腺癌的发病率:一项回顾性研究。
Indian J Urol. 2020 Oct-Dec;36(4):297-302. doi: 10.4103/iju.IJU_261_20. Epub 2020 Oct 1.
2
Cystitis Cystica Glandularis: Radiological Imitator of Urothelial Carcinoma.腺性膀胱炎:尿路上皮癌的影像学模仿者
Iran J Kidney Dis. 2018 Jan;12(1):10.
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Pathological feature and immunoprofile of cystitis glandularis accompanied with upper urinary tract obstruction.腺性膀胱炎伴上尿路梗阻的病理特征及免疫表型
前列腺尿道部伴肠化生的弥漫性腺性膀胱炎:一例报告并文献复习
Int J Surg Case Rep. 2024 Mar;116:109416. doi: 10.1016/j.ijscr.2024.109416. Epub 2024 Feb 28.
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Differences in clinical features between focal and extensive types of cystitis glandularis in patients without a previous history of urinary tract malignancy.在无尿路恶性肿瘤既往史的患者中,局限性和弥漫性腺性膀胱炎的临床特征存在差异。
Investig Clin Urol. 2023 Nov;64(6):597-605. doi: 10.4111/icu.20230210.
Biomed Res Int. 2014;2014:872170. doi: 10.1155/2014/872170. Epub 2014 May 29.
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Clinical character of cystitis glandularis accompanied with upper urinary tract obstruction.腺性膀胱炎伴上尿路梗阻的临床特征
Can Urol Assoc J. 2013 Nov-Dec;7(11-12):E708-10. doi: 10.5489/cuaj.359.
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Role of cystitis cystica et glandularis and intestinal metaplasia in development of bladder carcinoma.腺性膀胱炎和肠化生在膀胱癌发生中的作用。
Urology. 2008 May;71(5):915-8. doi: 10.1016/j.urology.2007.11.079.
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The prevalence and significance of Brunn's nests, cystitis cystica and squamous metaplasia in normal bladders.正常膀胱中布伦巢、囊性膀胱炎和鳞状化生的发生率及意义。
J Urol. 1979 Sep;122(3):317-21. doi: 10.1016/s0022-5347(17)56384-3.