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Cystitis glandularis.

Liron Pantanowitz¹, Christopher N Otis

¹Department of Pathology, Division of Cytopathology, Baystate Medical Center, Tufts School of Medicine, Springfield, Massachusetts 01199, USA. lpantanowitz@hotmail.com

Diagnostic Cytopathology

|January 31, 2008

Summary

Urine cytology can reveal glandular cells, which may indicate benign conditions like cystitis glandularis or adenocarcinoma. Recognizing colonic metaplasia in urine cytology is crucial for accurate diagnosis.

Area of Science:

Urology
Cytopathology
Gastroenterology

Background:

Glandular cells in urine cytology are uncommon findings.
Differential diagnosis includes benign entities and adenocarcinoma.

Purpose of the Study:

To highlight the significance of identifying glandular cells in urine cytology.
To discuss the differential diagnosis, including cystitis glandularis with intestinal metaplasia.

Main Methods:

Review of cytologic findings in urine specimens.
Histopathologic correlation where available.

Main Results:

Glandular cells in urine can originate from benign conditions like cystitis glandularis.
Cystitis glandularis with intestinal metaplasia exhibits bland cytologic features.

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Colonic metaplasia can be identified in urine cytology specimens.

Conclusions:

The presence of glandular cells in urine requires careful evaluation.
Recognition of specific features, such as colonic metaplasia, aids in diagnosis.
Distinguishing benign from malignant glandular cells is critical.