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방광의 Florid von Brunn 둥지 -1예 보고-

Florid von Brunn Nests of the Urinary Bladder - A Case Report -

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Abstract

Among benign proliferations of the urinary bladder, von Brunn nests and cystitis cystica et glandularis are common. Sometimes florid proliferation of von Brunn nests makes an intravesical mass, which mimics tumorous lesions. We report here on a case of florid von Brunn nests, occurred in the 34-year-old man with hematuria. Radiological and cystoscopic examinations reveal a polypoid-papillary lesion and transurethral resection was then performed. Pathologically, prominent proliferations of urothelial cell nests were found deep in the lamina propria. Neither significant cytologic atypia nor muscle invasion was noted. Florid von Brunn nests should be considered both clinically and pathologically in the differential diagnosis of a intravesical mass.

참고문헌 (7)

  1. Wiener DP, "The prevalence and significance of Brunn’s nests, cystitis cystica and squamous metaplasia in normal bladders", J Urol, 122, pp.317~321 (1979)
  2. Volmar KE, "Florid von Brunn nests mimicking urothelial carcinoma: a morphologic and immunohistochemical comparison to the nested variant of urothelial carcinoma", Am J Surg Pathol, 27, pp.1243~1252 (2003)
  3. Lin JI, "Diffuse cystitis glandularis: associated with adenocarcinomatous change", Urology, 14, pp.411~415 (1980)
  4. Stern JB, "Unusual benign bladder tumor of Brunn nest origin", Urology, 14, pp.288~289 (1979)
  5. Allan CH, "Nephrogenic adenoma of the prostatic urethra: a mimicker of prostate adenocarcinoma", Am J Surg Pathol, 25, pp.802~808 (2001)
  6. Broussard JN, "Atypia in inverted urothelial papillomas: pathology and prognostic significance", Hum Pathol, 35, pp.1499~1504 (2004)
  7. Kim YB, "Hamartoma Arising in the Urinary Bladder: a case report", Korean J Pathol, 27, pp.283~286 (1993)

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