Inverted Papilloma of the Bladder Coexisting with Urothelial Carcinoma. A Case Report.

IF 0.1 4区 医学 Q4 Medicine Analytical and Quantitative Cytopathology and Histopathology Pub Date : 2016-02-01
Ricardo Santana Veiga, João Cassis, Pedro Oliveira, António Lopez-Beltran
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Abstract

Background: Inverted papilloma (IP) is an unusual benign neoplasm, most commonly found in the bladder. Cases of malignant transformation have been reported in the past, although most of them are now considered to be urothelial carcinomas with an inverted growth pattern.

Case: A 54-year-old man was diagnosed with urothelial carcinoma in situ (UCIS), high-grade papillary urothelial carcinoma (HGPUC), and IP by transurethral resection specimen of the bladder. The urothelial carcinoma cells were seen colonizing the inverted papilloma.

Conclusion: The coexistence of IP with UCIS and HGPUC is rare. Immunohistochemistry helps distinguish between IP and UC in difficult cases such as this one. A brief review of other reported cases of inverted papilloma coexisting with urothelial carcinoma in the English literature over the past 25 years is presented.

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膀胱内翻性乳头状瘤与尿路上皮癌共存。一个病例报告。
背景:内翻性乳头状瘤是一种罕见的良性肿瘤,最常见于膀胱。恶性转化的病例在过去也有报道,尽管大多数现在被认为是生长模式倒置的尿路上皮癌。病例:一名54岁男性经尿道膀胱切除标本诊断为尿路上皮原位癌(UCIS),高级别乳头状尿路上皮癌(HGPUC)和IP。倒置乳头状瘤可见尿路上皮癌细胞定植。结论:IP与UCIS、HGPUC并存的情况较为少见。免疫组织化学有助于在像本例这样的困难病例中区分IP和UC。在过去的25年里,英国文献中报道的其他内翻性乳头状瘤与尿路上皮癌共存的病例的简要回顾被提出。
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期刊介绍: AQCH is an Official Periodical of The International Academy of Cytology and the Italian Society of Urologic Pathology.
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