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Müllerianosis of the urinary bladder: a rare and problematic bladder tumour.

Abstract Müllerianosis of the bladder is an extremely rare and highly symptomatic bladder tumour comprising of at least two types of Müllerian derived tissues. We present the case of a 59-year-old woman presenting with painful macroscopic haematuria associated with urgency, frequency and incontinence. She is a nulliparous postmenopausal woman without malignancy risk factors or previous abdominal surgery. Initially identified on ultrasound scan, she was taken for transurethral resection of bladder tumour (TURBT). Histology confirms the diagnosis. Repeat TURBT was required for non-resolution of symptoms. Despite a thorough resection, symptoms recurred within months necessitating partial cystectomy. Although a 'benign' lesion, this lesion proved a difficult condition to treat requiring partial cystectomy.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title bmj case reports
Publication Year Start




PMID- 28275021
OWN - NLM
STAT- MEDLINE
DA  - 20170309
DCOM- 20170316
LR  - 20170316
IS  - 1757-790X (Electronic)
IS  - 1757-790X (Linking)
VI  - 2017
DP  - 2017 Mar 08
TI  - Mullerianosis of the urinary bladder: a rare and problematic bladder tumour.
LID - bcr2016218772 [pii]
LID - 10.1136/bcr-2016-218772 [doi]
AB  - Mullerianosis of the bladder is an extremely rare and highly symptomatic bladder 
      tumour comprising of at least two types of Mullerian derived tissues. We present 
      the case of a 59-year-old woman presenting with painful macroscopic haematuria
      associated with urgency, frequency and incontinence. She is a nulliparous
      postmenopausal woman without malignancy risk factors or previous abdominal
      surgery. Initially identified on ultrasound scan, she was taken for transurethral
      resection of bladder tumour (TURBT). Histology confirms the diagnosis. Repeat
      TURBT was required for non-resolution of symptoms. Despite a thorough resection, 
      symptoms recurred within months necessitating partial cystectomy. Although a
      'benign' lesion, this lesion proved a difficult condition to treat requiring
      partial cystectomy.
CI  - 2017 BMJ Publishing Group Ltd.
FAU - Patel, Amit
AU  - Patel A
AUID- ORCID: http://orcid.org/0000-0002-1209-3561
AD  - Department of Urology, Queen Elizabeth II Jubilee Hospital, Acacia Ridge,
      Queensland, Australia.
AD  - Griffith University, Gold Coast, Australia.
FAU - Desai, Pranali
AU  - Desai P
AD  - Department of Gynaecology, Queen Elizabeth II Jubilee Hospital, Acacia Ridge,
      Queensland, Australia.
FAU - Malczewski, Frances
AU  - Malczewski F
AD  - Department of Pathology, Royal Brisbane and Women's Hospital, Herston,
      Queensland, Australia.
FAU - Stephens, Daryl
AU  - Stephens D
AD  - Department of Urology, Mackay Base Hospital, Mackay, Queensland, Australia.
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20170308
PL  - England
TA  - BMJ Case Rep
JT  - BMJ case reports
JID - 101526291
SB  - IM
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - Mullerian Ducts/*surgery
MH  - Reoperation
MH  - Treatment Outcome
MH  - Urinary Bladder Neoplasms/*surgery
EDAT- 2017/03/10 06:00
MHDA- 2017/03/17 06:00
CRDT- 2017/03/10 06:00
AID - bcr-2016-218772 [pii]
AID - 10.1136/bcr-2016-218772 [doi]
PST - epublish
SO  - BMJ Case Rep. 2017 Mar 8;2017. pii: bcr2016218772. doi: 10.1136/bcr-2016-218772.

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