[Primary localized amyloidosis of the urinary bladder: a case report]

A case of primary localized amyloidosis of the urinary bladder is reported. A 57-year-old male who complained of macrohematuria visited our hospital. Cystoscopic examination revealed a broad basic tumor from the anterior wall to the right wall. Suspecting a bladder tumor we performed a transurethral resection. However, the histopathological examination of the specimen revealed amyloid deposition and no malignant changes. Serum electrophoresis pattern was normal and urinary Bence-Jones protein was negative. Neither rectal nor gastric biopsy revealed amyloids. From these findings, we made a diagnosis of the primary localized amyloidosis of the urinary bladder. We collected 42 cases from the Japanese literature and discuss the clinical features of this disease.