Bladder endometriosis must be considered as bladder adenomyosis

Donnez, Jacques; Spada, Francesca; Squifflet, Jean; Nisolle, Michelle

doi:10.1016/s0015-0282(00)01584-3

Cited by 160 publications

(126 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Müllerianosis can occur without any history of pelvic surgery and the histologic and immunohistochemical features support the idea of a metaplastic origin in embryonic duct remnants. 10 Although we could not show any conclusive pathologic evidence of an association between bladder endometriosis and the bladder exstrophy in the present case, metaplasia from residual tissue during surgery for the bladder exstrophy or retention of embryonic duct remnants during organogenesis are possible etiologies. Future accumulation of similar cases would be helpful for clarification of this association between bladder exstrophy and endometriosis.…”

Section: Discussioncontrasting

confidence: 78%

“…At least 3 different alternative pathogenetic mechanisms have been hypothesized: (1) development from metaplasia of Müllerian duct remnants; (2) extension of adenomyotic lesions arising in the myometrium and subsequently invading the bladder; or (3) iatrogenic displacement of the decidua after gynecologic surgery, particularly after a Cesarean section. [10][11][12] As for the other pathologic conditions including endometrial lesions, fewer than 20 cases of Müllerianosis of the bladder have been reported. [13][14][15] This rare entity is characterized by the presence of an admixture of at least 2 types of Müllerian tissue leading to endometriosis, endocervicosis, and endosalpingosis in the lamina propria and muscularis propria of the bladder.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Scar Endometriosis in a Patient With Bladder Exstrophy

Kitajima

Inoue

Uchida

et al. 2013

International Surgery

View full text Add to dashboard Cite

Endometriosis is an ectopic occurrence of tissue morphologically and functionally resembling endometrial tissue in regions outside the uterine cavity. Although scar endometriosis after surgery has been shown to be most common among all the extrapelvic forms of endometriosis, endometriosis after bladder exstrophy surgery has not been reported, and here we present the first known case. A 26-year-old woman with a history of bladder exstrophy was aware of a painful induration at the operative scar located in the left lower abdominal wall, and presented at our hospital. Although the symptoms resolved, recurring exacerbation was observed after 9 months. Abdominal magnetic resonance imaging showed a heterogeneous mass 16 mm in diameter in the left abdominal wall with high signal intensity on T1W1 and T2W1 images. She underwent excisional biopsy of the lesion under general anesthesia. Histopathology confirmed the diagnosis of endometriosis. Eighteen months after surgery, she was well and free from recurrence.

show abstract

Section: Discussioncontrasting

confidence: 78%

Section: Discussionmentioning

confidence: 99%

Scar Endometriosis in a Patient With Bladder Exstrophy

Kitajima

Inoue

Uchida

et al. 2013

International Surgery

View full text Add to dashboard Cite

show abstract

“…Однако существуют данные, противоречащие этим гипоте-зам: 1) гистологические материалы, подтверждающие нали-чие эмбриональных зачатков в области маточно-пузырного пространства, никогда не были предоставлены; 2) доказа-но, что гладкомышечные клетки присутствуют во всех типах эндометриоидных гетеротопий [4]; 3) в большинстве опуб-ликованных исследований не обнаружено сочетание узлово-го аденомиоза с ЭМП [5].…”

Section: Discussionunclassified

“…При контрольной МРТ органов мало-го таза через 6 месяцев отмечена положительная динамика в виде уменьшения размеров эндометриоидных изменений в стенке мочевого пузыря и в перивезикальной клетчатке, кистозного образования правого яичника с 25 мм до 8 мм (рис. 4,5). В настоящее время на фоне применения диено-геста в течение 12 месяцев у пациентки отсутствуют жалобы и признаки рецидива заболевания.…”

Section: примечание белок P53 -транскрипционный фактор регулирующийunclassified

Atypical Endometriosis of the Urinary Bladder: Review of the Literature and a Clinical Case

Байрамова¹,

Protasova²,

Bairamov³

et al. 2018

View full text Add to dashboard Cite

НА СТЫКЕ ДИСЦИПЛИНObjective of the Paper: To describe a clinical case of atypical endometriosis (AEM) of the urinary bladder. Key Points: The paper describes a first-hand observation of a clinical case of AEM of the urinary bladder in a woman of reproductive age. The authors propose a panel of immunohistochemical markers that will improve the diagnosis of AEM, viewed as a morphological precancerous condition. They also discuss the latest data from the literature on the specific aspects of the pathogenesis, diagnosis, clinical course, treatment methods, and risk factors for malignant transformation of this rare condition. Conclusion: Challenges in the differential diagnosis and histological verification of AEM of the urinary bladder make it necessary to evaluate the immunohistochemical expression of the BAF250a (ARID1a), β-catenin, PTEN, Ki-67, and p53 markers. Curative resection of areas of endometriosis combined with long-term adjuvant treatment with dienogest is the most effective therapeutic approach. Keywords: atypical endometriosis, endometriosis of the urinary bladder, dienogest, urinary bladder resection, conserving therapy, BAF250a (ARID1a), PTEN, β-catenin. «АВА-ПЕТЕР». 199034, г. Санкт-Петербург, Университетская наб., д. 7-9. E-mail: protasova1966@yandex.ru (Окончание на с. 62.) Атипический эндометриоз мочевого пузыряЦель статьи: представить клиническое наблюдение атипического эндометриоза мочевого пузыря (ЭМП). Основные положения. В статье описано собственное наблюдение атипической формы ЭМП у женщины репродуктивного возраста. Предложена панель иммуногистохимических маркеров, которая позволит улучшить диагностический поиск атипического эндометриоза, рассматриваемого как морфологическая форма предрака. Освещены также особенности патогенеза, диагностики, клинического течения, методов лечения и риска злокачественной трансформации этого редкого заболевания, рассматриваемые в современной литературе. Заключение. Сложность дифференциальной диагностики и гистологической верификации атипической формы ЭМП диктует необходи-мость проведения иммуногистохимического исследования с оценкой экспрессии маркеров BAF250a (ARID1a), β-катенина, PTEN, индекса Ki-67, p53. Радикальное удаление эндометриоидных очагов в комбинации с длительной адъювантной терапией диеногестом является наиболее эффективным методом лечения. Ключевые слова: атипический эндометриоз, эндометриоз мочевого пузыря, диеногест, резекция мочевого пузыря, органосохраняющее лечение, BAF250a (ARID1a), PTEN, β-катенин.

show abstract

“…About 10 to 15 % of women in their reproductive age are affected by this condition (1). This disorder is more prevalent among 25-to 45-year-old people /women, with its peak incidence between 30 and 40 years of age (2).…”

Section: Introductionmentioning

confidence: 99%

Endometriosis: A Rare Cause of Gross Hematuria

et al. 2018

View full text Add to dashboard Cite

Introduction: Endometriosis is a condition in which endometrial tissue exists outside the uterine cavity. Urinary tract lesions are present in 1 % of women with this condition. Case Presentation: A 34-year-old woman was presented to our clinic with a 3-year history of dysuria and frequency. Her past medical history was significant for cesarean sections, performed 3 years earlier. In our center, the patient underwent cystoscopy and transurethral resection of a lesion found in the bladder wall, which on histopathology examination appeared to be endometriosis. A course of six-month hormonal therapy with luteinizing hormone-releasing hormone (LHRH)-agonist (Dipherelin™ 3.75 IM per 28 day) was planned for her. One month later, trans-vaginal ultrasound revealed a nodule posterior to the bladder, which had grown 1 cm in the preceding month. Therefore, Hysterectomy, bilateral oophorectomy, and partial cystectomy were performed. The pathology report was Mullerianosis. During two years of follow up, the patient remained asymptomatic. Conclusions: Endometriosis and endocervicosis should be regarded as important differential diagnoses in patients with gross hematuria and those suspected to have urothelial carcinomas.

show abstract

Bladder endometriosis must be considered as bladder adenomyosis

Cited by 160 publications

References 10 publications

Scar Endometriosis in a Patient With Bladder Exstrophy

Scar Endometriosis in a Patient With Bladder Exstrophy

Atypical Endometriosis of the Urinary Bladder: Review of the Literature and a Clinical Case

Endometriosis: A Rare Cause of Gross Hematuria

Contact Info

Product

Resources

About