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Presented by George Netto, M.D. and prepared by Priya Banerjee, M.D.
Case 1: A 45 year old female presented with dysuria, proteinuria and frequency.
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Question 1 of 1
1. Question
Week 386: Case 1
A 45 year old female presented with dysuria, proteinuria and frequency. TURB was perforemed.images/S08474_A.jpg
images/S08474_B.jpg
images/S08474_C.jpgCorrect
Answer: Mullerianosis
Histology: see below
Discussion: Mullerianosis of the urinary bladder is an extremely rare encounter. The tumor-like lesion may contain one or more of several types of benign Mullerian -type epithelia including endometrial, endocervical, and endosalpingial tissue. Possible mechanisms of pathogenesis include implantation or metaplastic origins, the latter has been recently favored. The lesion has a benign biologic behavior and may be associated with other metaplastic changes such as cystitis cystica glandularis.
A case of endometrioid carcinoma and very rare cases of clear cell adenocarcinoma originating in endometriosis or mullarian cysts of bladder are on record
Incorrect
Answer: Mullerianosis
Histology: see below
Discussion: Mullerianosis of the urinary bladder is an extremely rare encounter. The tumor-like lesion may contain one or more of several types of benign Mullerian -type epithelia including endometrial, endocervical, and endosalpingial tissue. Possible mechanisms of pathogenesis include implantation or metaplastic origins, the latter has been recently favored. The lesion has a benign biologic behavior and may be associated with other metaplastic changes such as cystitis cystica glandularis.
A case of endometrioid carcinoma and very rare cases of clear cell adenocarcinoma originating in endometriosis or mullarian cysts of bladder are on record
