Abstract
Cystitis glandularis is a very rare proliferative disorder of the mucus-producing glands within the mucosa and submucosa of urinary bladder epithelium. We report such a case of glandular cystitis with intestinal metaplasia masquerading as a bladder tumor in a young male patient who presented with severe obstructive urinary symptoms. Cystoscopy revealed a tumor well circumscribed, measuring 5 ×4 m on the trigone. Transurethral resection of the mass was carried out and the histopathology suggested cystitis glandularis. The literature regarding this entity has been reviewed and the differential diagnosis was discussed. Short-term follow-up of the patient with sonography and cystoscopy showed no recurrence.
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Jacobs LB, Brooks JD, Epstein JI (1997) Differentiation of colonic metaplasia from adenocarcinoma of the urinary bladder. Hum Pathol 28:1152
Bell TE, Wendel RG (1968) Cystitis glandularis: benign or malignant? J Urol 100:462
Granados EA, Algaba F, Vicente Rodriguez J (1999 Mar) Cystitis glandularis. Arch Esp Urol 52(2):119–122
Black PC, Lange PH (2005 Jan) Cystoprostatectomy and neobladder construction for florid cystitis glandularis. Urology 65(1):174
Sauty L, Ravery V, Toublanc M, Boccon-Gibod L (1998 Sep) Florid glandular cystitis: study of 3 cases and review of the literature. Prog Urol 8(4):561–564
Bullock PS, Thoni DE, Murphy WM (1987) The significance of colonic mucosa (intestinal metaplasia) involving the urinary tract. Cancer 59: 086–2090
Garcia Rojo D, Prera Vilaseca A, Saez Artacho A, et al (1997) Transformation of glandular cystitis into bladder transitional carcinoma with adenocarcinoma areas. Arch Esp Urol 50(2):187–189
Young RH, Bostwick DG (1996) Florid cystitis glandularis of intestinal type with mucin extravasation: a mimic of adenocarcinoma. Am J Surg Pathol 20:1462–1468
Young RH (1997) Pseudoneoplastic lesions of the urinary bladder and urethra: a selective review with emphasis on recent information. Semin Diagn Pathol 14:133–146
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Kaya, C., Akpinar, I.N., Aker, F. et al. Large Cystitis Glandularis: A Very Rare cause of Severe Obstructive Urinary Symptoms in an Adult. Int Urol Nephrol 39, 441–444 (2007). https://doi.org/10.1007/s11255-006-9042-4
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DOI: https://doi.org/10.1007/s11255-006-9042-4