Morikawa H, Murata K, Oda H, Kitahara K, Kanemura M, Yokoyama M
Department of Urology, Toranomon Hospital.
Hinyokika Kiyo. 1998 Jul;44(7):509-12.
A case of primary amyloidosis of the bladder is reported. A 59-year-old man visited our hospital with a complaint of gross hematuria. Cystoscopy revealed several elevated lesions with yellowish surface accompanied by proliferated vessels at the posterior wall. Transurethral mucosal biopsy was performed. Histopathological diagnosis was a primary localized amyloidosis of AL type in the bladder. Systemic amyloidosis was clinically excluded. He is followed for 38 months without symptoms but mucosal lesions persisted.
报告了一例膀胱原发性淀粉样变性病例。一名59岁男性因肉眼血尿前来我院就诊。膀胱镜检查发现后壁有几个隆起性病变,表面呈淡黄色,伴有血管增生。进行了经尿道黏膜活检。组织病理学诊断为膀胱AL型原发性局限性淀粉样变性。临床排除了系统性淀粉样变性。对其进行了38个月的随访,患者无症状,但黏膜病变持续存在。