Aydin Ozge, Cinar Ilkay, Ozdemir Burhan
Department of Pathology, Giresun University Training and Research Hospital, Giresun, Turkey.
Department of Urology, A. İlhan Özdemir State Hospital, Giresun, Turkey.
Urol Int. 2025 Jun 22:1-4. doi: 10.1159/000547086.
Müllerianosis of the bladder is a rare pathological condition characterized by the presence of residual Müllerian ductal tissue in the bladder wall. Although usually benign, Müllerianosis of the bladder may show tumor-like features and lead to potential misdiagnosis as bladder carcinoma.
In this case report, we discuss a 53-year-old woman who presented with left flank pain, and an incidental bladder USG revealed a mass. Cystoscopy revealed a mucinous mass on the posterior wall, and histopathological examination revealed Müllerian-type epithelium, confirming the diagnosis of Müllerianosis. The lesion recurred in two more control cystoscopies within 2 years.
This case highlights the importance of considering Müllerianosis in the differential diagnosis of bladder lesions mimicking adenocarcinoma.
膀胱苗勒管残余综合征是一种罕见的病理状况,其特征为膀胱壁内存在残余的苗勒管组织。膀胱苗勒管残余综合征通常为良性,但可能呈现肿瘤样特征,导致被误诊为膀胱癌。
在本病例报告中,我们讨论了一名53岁女性,她因左侧胁腹疼痛就诊,偶然的膀胱超声检查发现一个肿块。膀胱镜检查发现后壁有一个黏液性肿块,组织病理学检查显示为苗勒管型上皮,确诊为膀胱苗勒管残余综合征。在两年内的另外两次膀胱镜复查中,病变复发。
本病例强调了在鉴别诊断疑似腺癌的膀胱病变时考虑膀胱苗勒管残余综合征的重要性。