Diffuse intestinal metaplasia of the urinary bladder causing bilateral hydronephrosis in a 48-year old man. A case report

George Tsamboukas, Vassilios Vossos, Ιoannis Geramoutsos, Panagiotis Politis, Gerasimos Vandoros, Aristomenis Gekas

Abstract


Glandular cystitis is a benign disease of the urinary bladder, possibly caused by permanent irritation of urothelium by various causes. The atypical or intestinal morphological type of the disease intrigues as it has been hypothesized as a premalignant condition associated with bladder adenocarcinoma. Whereas such a relation remains controversial, severe sequelaes can occur from the benign version of the disease, provoking dilemmas and making difficult its management by the urologist.

 

Η αδενική κυστίτιδα είναι μια καλοήθης πάθηση της ουροδόχου κύστης, με πιθανότερη αιτία τον επίμονο ερεθισμό του ουροθηλίου από ποικίλες αιτίες. Ο άτυπος ή εντερικός μορφολογικός τύπος της πάθησης συγκεντρώνει ιδιαίτερο ενδιαφέρον καθώς έχει υποτεθεί ως μια προκαρκινωματώδη κατάσταση σχετιζόμενη με το αδενοκαρκίνωμα της κύστης. Ενώ η σχέση αυτή παραμένει αμφιλεγόμενη, σοβαρές συνέπειες μπορεί να προέλθουν και από την καλοήθη εκδοχή της νόσου, εγείροντας διλήμματα και κάνοντας δύσκολη την αντιμετώπισή της από τον ουρολόγο.

 


Keywords


glandular cystitis; intestinal metaplasia; adenocarcinoma; cystectomy; αδενική κυστίτιδα; εντερική μεταπλασία; αδενοκαρκίνωμα; κυστεκτομή

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References


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DOI: http://dx.doi.org/10.19264/hj.v28i2.127