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Urinary Bladder01:23

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The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
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The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...
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The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
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Urinary Bladder Nephrogenic Adenoma: A Histopathological Case Report.

Hristo Popov1, Andreya Kirilova1, Kristina Naydenova1

  • 1General and Clinical Pathology, Forensic Medicine and Deontology, Medical University of Varna, Varna, BGR.

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Summary

Nephrogenic adenomas, benign urinary tract lesions, can occur after urothelial carcinoma treatment. This case highlights their development in a patient with a history of bladder cancer, emphasizing diagnostic considerations.

Keywords:
benign lesionsnephrogenic adenomapathologyurinary bladderurology

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Area of Science:

  • Uropathology
  • Oncology
  • Nephrology

Background:

  • Nephrogenic adenomas are benign urinary tract lesions with unclear origins.
  • They commonly affect adult males and are associated with prior urinary tract injury, infection, or malignancy.
  • Renal transplant recipients are also a subset of affected individuals.

Observation:

  • A male patient in his seventies, previously treated for low-grade, non-invasive urothelial carcinoma, presented with dysuria.
  • Bladder endoscopy revealed a ureteral stricture and two small exophytic lesions near the prior cancer site.
  • Histological examination showed complex papillary architecture and cystic spaces lined by monomorphous epithelial cells.

Findings:

  • The histological features, including papillary architecture and specific cellular morphology, led to the diagnosis of nephrogenic adenoma.
  • The lesions were located adjacent to the site of previous urothelial carcinoma treatment.
  • The patient had remained disease-free from urothelial carcinoma for seven years prior to this presentation.

Implications:

  • This case underscores the importance of considering nephrogenic adenoma in the differential diagnosis of urinary tract lesions, especially in patients with a history of urothelial carcinoma.
  • Understanding the association between prior urinary tract interventions and nephrogenic adenoma development is crucial for accurate diagnosis and patient management.
  • Further research into the etiopathogenesis of nephrogenic adenoma may improve diagnostic accuracy and treatment strategies.