膀胱肾源性腺瘤1例报告

S. Şenel, C. S. Gökkaya, S. Kayaçetin, S. Bulut
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摘要

摘要肾源性腺瘤是一种罕见的尿路上皮粘膜良性病变。我们的病例是偶然发现的肾源性腺瘤伴双侧肾积水。59岁女性。膀胱镜检查发现膀胱前壁可疑乳头状病变1cm,行经尿道膀胱切除术。病理结果报告为肾源性腺瘤(肾源性化生)。膀胱是最常见的肾源性腺瘤(68.6%),其次是尿道(13.5%)、输尿管(8.2%)、肾盂(8.2%)和前列腺(2%)。肾源性腺瘤与尿路慢性刺激或炎症密切相关。其他恶性病变应通过免疫组织化学和组织病理学加以鉴别。对于伴随的恶性病变和频繁的局部复发应遵循。
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Nephrogenic adenoma of the bladder: a case report
Nephrogenic adenoma is a rare benign lesion of urothelial mucosa. Our case is an incidentally detected nephrogenic adenoma accompanied by bilateral hydronephrosis. A 59-year-old female. At cystoscopy, suspicious papillary lesion measuring 1 cm was observed on anteior wall of the bladder and transurethral resection was performed.Pathologically, the result was reported as nephrogenic adenoma (nephrogenic metaplasia). The urinary bladder is the most common location of nephrogenic adenom (68.6 %)and it is followed by the urethra (13.5 %),ureter (8.2%), renal pelvis (8.2%) and prostate (2%). Nephrogenic adenomas are strongly associated with chronic irritation or inflammation of the urinary tract. Other malign lesions should be distinguished immunohistochemically and histopathologically. It should be followed for concomitant malignant lesions and frequent local recurrences.
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