RESUMO
We report the case of a 76-year-old patient with a past medical history of low-grade chronic lymphocytic leukaemia who presented with severe chronic bladder symptoms attributed to interstitial cystitis. She underwent cystectomy and ileal conduit formation after the failure of all conventional treatment. Bladder histopathology revealed primary splenic marginal zone lymphoma. Literature review shows the rarity of such non-hematopoietic visceral metastases. This may represent the first reported splenic marginal zone lymphoma with bladder involvement and highlights the clinical and histological similarities with interstitial cystitis.
Assuntos
Leucemia Linfocítica Crônica de Células B/patologia , Neoplasias Esplênicas/patologia , Neoplasias da Bexiga Urinária/secundário , Idoso , Cistite Intersticial , Diagnóstico Diferencial , Feminino , HumanosRESUMO
We report a rare case of a 26-year-old patient presented with 3-week history of frank haematuria and suprapubic discomfort. Investigations revealed a tumour arising from the bladder wall and histology demonstrated cystitis glandularis. The literature review highlights the rarity of cystitis glandularis presented in such manner. Our radiographic and endoscopic images can also assist future diagnosis of the condition especially in patients in such age groups.
Assuntos
Cistite/diagnóstico , Neoplasias da Bexiga Urinária/diagnóstico , Adulto , Cistite/diagnóstico por imagem , Humanos , Masculino , UltrassonografiaRESUMO
A patient is presented with abdominal pain and an abdominal mass. The testicular primary tumor was not obvious initially, but nodular calcification in the para-aortic lymph when associated with hydronephrosis. The CT findings showed this to be separate and the histology was confirmed by needle cytology.