■膀胱乳头状瘤,一种罕见的尿道良性肿瘤,占膀胱肿瘤的1-4%。其鲜明的特点,通过光学显微镜诊断,包括建筑和细胞学特征。尽管它很罕见,膀胱乳头状瘤由于其独特的特征而具有临床意义,低复发风险,和其他尿路上皮肿瘤的潜在进展。了解这种情况对于早期诊断和最佳患者护理至关重要。
方法:一名66岁男性良性前列腺增生患者出现1个月的间歇性血尿。体格检查和实验室检查无异常。影像学显示,右侧膀胱壁上有11×10×7mm回声性结节性病变伴钙化。膀胱镜检查发现息肉样病变,导致经尿道切除。组织病理学检查证实膀胱乳头状瘤无恶性特征。
■膀胱乳头状瘤通常表现为血尿,主要是年轻患者,低复发和罕见的进展为侵袭性癌症。诊断涉及内窥镜检查和切除,其次是膀胱镜检查。了解它的分类,特点,和风险因素有助于准确管理。
结论:膀胱乳头状瘤的诊断依赖于光学显微镜,以血尿为主要症状,通常在年轻患者中。复发风险低,进展为侵袭性癌症的情况很少见。诊断涉及内窥镜检查,切除,膀胱镜随访。这个病例增强了我们对膀胱乳头状瘤的认识,有助于改善护理。
UNASSIGNED: Bladder papilloma, a rare benign tumor of the urinary tract, accounts for 1-4 % of
bladder tumors. Its distinct features, diagnosed through light microscopy, include architectural and cytological characteristics. Despite its rarity, bladder papilloma is clinically significant due to its distinct traits, low recurrence risk, and potential progression to other urothelial neoplasms. Understanding this condition is crucial for early diagnosis and optimal patient care.
METHODS: A 66-year-old male with benign prostatic hyperplasia presented with one month of intermittent hematuria. Physical examination and laboratory tests were unremarkable. Imaging revealed an 11 × 10 × 7 mm echogenic nodular lesion with calcifications on the right
bladder wall. Cystoscopy identified a polypoid lesion, leading to transurethral resection. Histopathological examination confirmed
bladder papilloma without malignant features.
UNASSIGNED: Bladder papilloma typically presents with hematuria, mainly in younger patients, with low recurrence and rare progression to aggressive cancers. Diagnosis involves endoscopy and resection, followed by cystoscopic surveillance. Understanding its classification, characteristics, and risk factors aids in accurate management.
CONCLUSIONS: Bladder papilloma diagnosis relies on light microscopy, with hematuria as a primary symptom, often in younger patients. Recurrence risk is low, and progression to aggressive cancers is rare. Diagnosis involves endoscopy, resection, and cystoscopic follow-up. This case enhances our understanding of
bladder papilloma, contributing to improved care.