International Journal of Surgery Case Reports, Год журнала: 2025, Номер unknown, С. 111171 - 111171

Опубликована: Март 1, 2025

Glandular cystitis is a rare bladder condition with urothelial metaplasia, often linked to chronic irritation and mimicking malignant tumors. Diagnosis histopathological, utilizing CK7 CK20 markers. While usually benign, some cases may be associated carcinoma, requiring long-term surveillance. Mrs. M, 68-year-old active smoker, presented acute oliguria, bilateral flank pain, other urinary symptoms. Lab results indicated severe kidney injury, CT scan revealed hydronephrosis 4 cm lesion. After stabilization hemodialysis, nephrostomies were placed. Two weeks later, transurethral resection showed an atypical lesion, histopathology confirmed intestinal glandular cystitis. Surveillance cystoscopies scheduled, no recurrence at three years. M significant symptom relief improved quality of life, as assessed by the FLZM questionnaire. GC two forms: (most common) which mimic relies on cystoscopy, histopathology, immunohistochemical markers (CK7 CK20). Non-urological exams, like colonoscopy, rule out systemic involvement. Most are but carcinoma in situ or adenocarcinoma. Treatment includes conservative therapies, pharmacologic agents, for pseudotumoral forms. Fucoidan shows promise therapeutic agent. Invasive surgeries cystectomy ureteral reimplantation considered recurrent cases. necessary due transformation potential. GC, though rare, demands early recognition, accurate diagnosis, tailored management prevent complications. This case emphasizes importance vigilant follow-up care.

Язык: Английский