Takahashi A, Mizutani Y, Terai A, Terachi T, Okada Y, Yoshida O
Department of Urology, Faculty of Medicine, Kyoto University.
Hinyokika Kiyo. 1996 Nov;42(11):903-5.
A case of primary localized amyloidosis of the urinary bladder is reported. The patient was a 46-year-old female who suffered from macrohematuria and consulted our department. A yellowish non-papillary tumor at the retrotrigone of the bladder was observed on cystoscopy. Histological diagnosis was amyloidosis of the bladder. Since there was no evidence of disease in other organs, this patient was diagnosed with primary localized amyloidosis of the bladder and transurethral resection was performed. The clinical course was uneventful and she has been well without recurrence for 6 months postoperatively. This case was cured by transurethral resection, but close follow-up of the patients is necessary because of the recurrence.
报告了一例膀胱原发性局限性淀粉样变性病例。患者为一名46岁女性,患有肉眼血尿,前来我科就诊。膀胱镜检查时,在膀胱后三角区观察到一个淡黄色非乳头状肿瘤。组织学诊断为膀胱淀粉样变性。由于其他器官未发现病变证据,该患者被诊断为膀胱原发性局限性淀粉样变性,并进行了经尿道切除术。临床过程平稳,术后6个月她恢复良好,无复发。该病例经经尿道切除术治愈,但由于存在复发情况,对患者进行密切随访是必要的。