Abdulrahman Seif-Aldin, Muhammad Ibrahim, Abdulrahman Ali, Raslan Khidr, Alshehabi Zuheir
Faculty of Medicine, Cancer Research Center, Tishreen University, Latakia, Syria.
Department of Urology, Tishreen University Hospital, Latakia, Syria.
Ann Med Surg (Lond). 2022 Apr 22;77:103666. doi: 10.1016/j.amsu.2022.103666. eCollection 2022 May.
Neoplasms arising from vesical diverticula are rare clinical entities known as intradiverticular bladder tumors. The bladder diverticulum harboring these tumors can be congenital or acquired. Congenital diverticula are predominantly found in children and are extremely rare in adults.
A 56-year-old male admitted to our hospital with a 10-days history of painless gross hematuria and blood clots. Physical examination and vital signs were unremarkable. Radiologic examination revealed a bladder diverticulum with a mass inside it. Pathological examination confirmed the diagnosis of TCC tumor arising from congenital bladder diverticula.
While intradiverticular bladder tumors account for only 1% of all bladder tumors، and the finding of a congenital bladder diverticulum is a rare anomaly in adults, the concurrence of a tumor arising within a congenital bladder diverticulum is almost non-existent in adults.
We aimed to present a rare case of urothelial carcinoma arising from a congenital diverticulum in an adult while highlighting the diagnostic and therapeutic options used in managing such tumors.
起源于膀胱憩室的肿瘤是一种罕见的临床实体,称为憩室内膀胱肿瘤。容纳这些肿瘤的膀胱憩室可以是先天性的或后天获得性的。先天性憩室主要见于儿童,在成人中极为罕见。
一名56岁男性因无痛性肉眼血尿和血凝块病史10天入院。体格检查和生命体征无异常。影像学检查发现膀胱憩室内有一肿块。病理检查确诊为先天性膀胱憩室起源的移行细胞癌。
虽然憩室内膀胱肿瘤仅占所有膀胱肿瘤的1%,且先天性膀胱憩室在成人中是一种罕见的异常情况,但先天性膀胱憩室内发生肿瘤在成人中几乎不存在。
我们旨在介绍一例成人先天性憩室起源的尿路上皮癌罕见病例,同时强调处理此类肿瘤所采用的诊断和治疗选择。