Abdel Gawad Ahmed M, Rabie Ahmed, Abdelwahed Mohammed S, Hasan Abdulkarim
Urology, Faculty of Medicine, Al-Azhar University, Damietta Branch, New Damietta, EGY.
Pathology, Faculty of Medicine, Al-Azhar University, Damietta Branch, New Damietta, EGY.
Cureus. 2022 Feb 9;14(2):e22046. doi: 10.7759/cureus.22046. eCollection 2022 Feb.
Urothelial papilloma is a rare benign neoplasm composed of a delicate fibrovascular core covered by normal urothelium. In this report, we present a case of an incidentally detected endovesical papillary growth in ultrasound scan (USS) during a routine check-up, suggestive of bladder tumor which was also suggested by CT urography. The tumor was initially managed with transurethral resection and immediate intravesical instillation of mitomycine C 40 mg. The histopathologic assessment of the specimen concluded that the growth was "urothelial papilloma with no atypia or malignancy." Although papilloma is unequivocally benign, it can recur; recurrences can be multiple and can occur years after the initial diagnosis occasionally with progression to carcinoma, hence long-term surveillance is essential. Our case was followed up for a year with no signs of recurrence or progression and long-term surveillance will be done annually.
尿路上皮乳头状瘤是一种罕见的良性肿瘤，由被正常尿路上皮覆盖的纤细纤维血管核心组成。在本报告中，我们介绍了一例在常规检查的超声扫描（USS）中偶然发现的膀胱内乳头状肿物，CT尿路造影也提示膀胱肿瘤。该肿瘤最初采用经尿道切除术，并立即膀胱内灌注40mg丝裂霉素C进行治疗。对标本的组织病理学评估得出结论，该肿物为“无异型性或恶性的尿路上皮乳头状瘤”。虽然乳头状瘤明确为良性，但可复发；复发可为多发性，偶尔可在初始诊断数年之后发生，且可进展为癌，因此长期监测至关重要。我们的病例随访了一年，无复发或进展迹象，以后将每年进行长期监测。
