Mullerianosis of the urinary bladder: Report of a case with diagnosis suggested in urine cytology and review of literature

Guan, Hui; Rosenthal, Dorothy L.; Erozan, Yener S.

doi:10.1002/dc.21693

Cited by 31 publications

(18 citation statements)

References 17 publications

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“…It is difficult to distinguish villous adenoma from other glandular lesions by cytology alone, but the following cytopathological features may be helpful for establishing a differential diagnosis with other entities. The presence of benign‐appearing glandular cells with abundant cytoplasm may represent cystitis glandularis or cystitis cystica . Cystitis glandularis yields mucin‐rich glandular cells mixed with urothelial cells.…”

Section: Discussionmentioning

confidence: 99%

Cytopathological features of villous adenoma of the urinary bladder in urine: A rare case report

Ishikawa

Kadota

Hayashi

et al. 2016

Diagnostic Cytopathology

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Villous adenoma of the urinary bladder is a rare tumor that histologically mimics its enteric counterpart. Patients with an isolated villous adenoma have an excellent prognosis, but associated adenocarcinomas can frequently be identified in them as well. There is no literature that discusses the cytopathologic features of villous adenoma. Here we report a case which was diagnosed as villous adenoma histologically, which has been followed up with urine cytology. In urine cytology, many mucin producing cells are recognized. Few cell clusters show glandular formation or arrangement along the basement membrane. When glandular cells with columnar mucin-filled goblet cells are seen in urine cytology, the presence of a primary glandular lesion of the urinary bladder, such as villous adenoma, should be considered possible. Diagn. Cytopathol. 2016;44:632-635. © 2016 Wiley Periodicals, Inc.

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Section: Discussionmentioning

confidence: 99%

Cytopathological features of villous adenoma of the urinary bladder in urine: A rare case report

Ishikawa

Kadota

Hayashi

et al. 2016

Diagnostic Cytopathology

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“…Macroscopically, mullerianosis is seen as a polypoid mass involving the dome or posterior wall of the bladder ranging from 1 to 4.5 cm in size. Rare cases may have internal cystic structures that have the appearance of dark-blue to black cysts [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Mullerianosis of the Urinary Bladder: A Case Report

Amir¹,

Taheini²,

Sheikh³

2018

Case Rep Oncol

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Mullerianosis is a rare entity consisting of an admixture of 2 or more of the following tissues: endometriosis, endocervicosis, and endosalpingiosis. It most commonly affects the urinary bladder and affects females of fertile age. It presents clinically as hematuria, dysuria, and pelvic pain which may be associated with menstruation. Radiologically and macroscopically, it typically presents as a polypoid mass in the dome or posterior wall of the bladder. Histologically, it consists of glands of varying size lined by endometrial, endocervical, or tubal epithelium. Mullerianosis clinically and histologically mimics other benign and malignant lesions. Herein we report a case of mullerianosis of the urinary bladder. This is a rare lesion with less than 20 cases reported in the literature thus far. We believe raising awareness of this poorly recognized entity is of utmost significance in order to avoid misdiagnosis and the following unnecessary radical procedures.

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“…Some available case reports have demonstrated both a reduction in symptoms and lesion size after a 3–6 month period of hormonal augmentation 7 10. Alternative approaches have been used, with one case report of a patient undergoing total abdominal hysterectomy and partial cystectomy to good effect 12.…”

Section: Discussionmentioning

confidence: 99%

Müllerianosis: a rare cause of acute renal colic

Ndokera¹,

Brewster

Dhar

2012

BMJ Case Reports

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A 50-year-old woman presented to the urology department with an acute history suggestive of left-sided renal colic. There were no other associated symptoms, but urine dipstick revealed non-visible haematuria. CT-KUB revealed a soft tissue mass at the left vesico-ureteric junction. Flexible cystoscopy demonstrated a mass intruding into the posterior bladder. A transurethral resection of the bladder 'tumour' was undertaken, and it was noted that the mass was not macroscopically consistent with transitional cell carcinoma. Histology demonstrated Müllerianosis, a rare lesion characterised by locally invasive growth of tissue originating from the Müllerian ( paramesonephric) duct. The patient was seen by gynaecologist who initiated hormone treatment with an lutenising hormone -releasing hormone (LH-RH) analogue. Urological follow-up 3 months later highlighted ongoing pelvic pain but no further colicky loin pain. Repeat cystoscopy showed the mass had become smaller and the left ureter was laterally displaced. Further gynaecological input is planned if symptoms are ongoing. BACKGROUND

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Mullerianosis of the urinary bladder: Report of a case with diagnosis suggested in urine cytology and review of literature

Cited by 31 publications

References 17 publications

Cytopathological features of villous adenoma of the urinary bladder in urine: A rare case report

Cytopathological features of villous adenoma of the urinary bladder in urine: A rare case report

Mullerianosis of the Urinary Bladder: A Case Report

Müllerianosis: a rare cause of acute renal colic

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