Eosinophilic cystitis mimicking bladder cancer-considerations on the management based upon a case report and a review of the literature

被引:9
作者
Schmitz-Draeger, Bernd J. [1 ,2 ]
Skutetzki, Andreas [3 ]
Rieker, Ralf J. [4 ,5 ]
Schwab, Siegfried A. [6 ]
Stoehr, Robert [5 ]
Bismarck, Ekkehardt [1 ]
Savov, Orlin [1 ]
Ebert, Thomas [1 ]
Benderska-Soeder, Natalya [1 ]
Hartmann, Arndt [5 ]
机构
[1] St Theresienkrankenhaus, Urol 24, Nurnberg, Nuremberg, Germany
[2] Friedrich Alexander Univ, Dept Urol & Pediat Urol, Erlangen, Germany
[3] Friedrich Alexander Univ Erlangen Nuremberg, Univ Hosp Erlangen, Dept Trauma Surg & Orthoped Surg, Erlangen, Germany
[4] St Theresienkrankenhaus, Dept Pathol, Nurnberg, Germany
[5] Friedrich Alexander Univ Erlangen Nuremberg, Univ Hosp Erlangen, Inst Pathol, Erlangen, Germany
[6] Dr Meer & Kollegen, Radiol, Oberasbach Nuremberg, Zirndorf, Germany
关键词
Inflammatory pseudotumor; Bladder tumor; Eosinophilic cystitis; Hypereosinophilic syndrome;
D O I
10.1007/s00428-021-03049-x
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
The hypereosinophilic syndrome (HES) is a rare disorder characterized by hypereosinophilia and infiltration of various organs with eosinophils. Eosinophilic cystitis (EC), mimicking bladder cancer clinically but also in ultrasound and in radiographic imaging, is one potential manifestation of the HES occurring in adults as well as in children. This case report describes the course of disease in a 57-year-old male presenting with severe gait disorders and symptoms of a low compliance bladder caused by a large retropubic tumor. After extensive urine and serologic examination and histologic confirmation of EC the patient was subjected to medical treatment with cetirizine and prednisolone for 5 weeks. While gait disorders rapidly resolved, micturition normalized only 10 months after initiation of therapy. Based upon this course the authors recommend patience and reluctance concerning radical surgical intervention in EC.
引用
收藏
页码:523 / 527
页数:5
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