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[Bladder amyloidosis: report of 2 cases]
J M Caballero Giné1, P Borrat Font, L Martí Picas
1Servicio de Urología, Hospital Mútua de Terrassa, Barcelona.
Actas Urologicas Espanolas
|August 31, 2000
Summary
This report details two bladder amyloidosis cases. One patient with primary bladder amyloidosis responded well to colchicine treatment, while another with systemic amyloidosis required arterial ligation.
Area of Science:
- Urology
- Pathology
- Nephrology
Background:
- Amyloidosis is a rare condition involving abnormal protein buildup.
- Bladder amyloidosis can manifest as tumors, causing hematuria.
- Systemic amyloidosis often accompanies chronic inflammatory diseases like rheumatoid arthritis.
Observation:
- A 45-year-old man presented with hematuria and bladder tumors, diagnosed with primary amyloidosis.
- A 71-year-old man with rheumatoid arthritis and systemic amyloidosis experienced massive hematuria.
Findings:
- Transurethral resection and histopathology confirmed primary amyloidosis in the first case.
- The first patient achieved successful treatment with oral colchicine.
- Transurethral resection failed in the second case, necessitating hypogastric artery ligation.
Implications:
- Primary bladder amyloidosis may be effectively treated with colchicine.
- Advanced or systemic bladder amyloidosis can present complex management challenges.
- These cases highlight the diverse clinical presentations and treatment strategies for bladder amyloidosis.
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