Tanière P, Cuzin B, Neyra M, Bobillon J C, Berger F, Bouvier R
Laboratoire Central d'Anatomie et de Cytologie Pathologiques, Hôpital Edouard Herriot, Lyon, France.
Prog Urol. 1998 Sep;8(4):565-8.
A 57 year-old patient with localized pseudo-tumoral amyloidosis of bladder is described. There was no past medical history. Hematuria was the main symptom. The treatment consisted in transurethral resection. Two recurrences occurred at 4 and at 6 years which were also treated by resections. Clinical and biological evaluation was normal. Localized pseudo-tumoral amyloidosis of the urinary tract is a rare affection of good prognosis. Lesions present as pseudo-tumoral masses which can be biopsied without any risk of hematuria. Investigations are required to eliminate a generalized amyloidosis or a malignant lymphoproliferation. Treatment should be as conservative as possible.
本文描述了一名57岁患有膀胱局限性假瘤样淀粉样变性的患者。患者既往无病史。血尿是主要症状。治疗方法为经尿道切除术。4年和6年时出现了两次复发,同样通过切除术进行治疗。临床和生物学评估均正常。泌尿道局限性假瘤样淀粉样变性是一种预后良好的罕见病症。病变表现为假瘤样肿块,可进行活检且无血尿风险。需要进行检查以排除全身性淀粉样变性或恶性淋巴增殖性疾病。治疗应尽可能保守。