Cystoscopy of glandular cystitis diagnosis (11 cas

ncycgdxhl · Wysłany: Czw 0:01, 17 Mar 2011

Cystoscopy of glandular cystitis diagnosis (11 cases misdiagnosed analysis)

n's nest, which appeared in cracks, or the formation of branches or ring cavity, the center appears the formation of glandular metaplasia of glandular structure, while there is infiltration of lymphocytes and plasma cells, known as cystitis glandularis . In this process, if only to see the luminal mucus volume paste,[link widoczny dla zalogowanych], no glandular of 13 students, it is called cystic cystitis, cystitis, and thus cystic cystitis can be considered two of the same pathological process stage or degree of clinical pathology test mixture of the two is also common in the existence of co-called glandular cystic cystitis. Mainly as bladder irritation, hematuria, bladder changes were occupying and lower abdominal pain. These symptoms are long-term urinary tract infection, bladder irritation or chronic inflammation caused by bladder neck obstruction, are non-specific clinical manifestations, easy and bacterial urinary tract infections, interstitial cystitis, pelvic inflammatory disease, neurosis, Prostatitis, Seminal, urinary tract stones, bladder tumors confused. 3.2 The diagnosis of cystitis glandularis should be based on pathological examination, cystoscopy in the diagnosis of important reference value. Cystitis in the bladder microscope has the following characteristics: ① lesions mainly located in the Triangle area and the bladder neck, can also be found in the lateral wall. ② lesions were multi-center,[link widoczny dla zalogowanych], distribution, sheets or clusters exist, with multiple forms of: the nipple-like, lobulated, follicular mixed there, on which no vascular ingrowth, cystic follicles were round and transparent processes. ③ Display ureteral orifice most unclear. Features and more easier to distinguish between transitional cell carcinoma of the bladder, but some cases with chronic cystitis and follicular carcinoma difficult to distinguish. The limitations of broad tumor-like lesions associated with the appearance of erosion or hemorrhage, hard texture of the base of integration are required to take into account the presence of cancer or in part the possibility of malignancy, pathological examination should be done. 3,[link widoczny dla zalogowanych],3 At present, cystitis glandularis no satisfactory treatment. Treatment of bladder mucosa stripping surgery, partial cystectomy, intravesical infusion of various drugs and therapies such as transurethral resection or laser, transurethral fulguration (TUR) or laser treatment is a major surgical procedure _5],[link widoczny dla zalogowanych], a certain effect. However, the application of TUR in the treatment of more limited, requiring uniform, complete; and for the broader disease who are not happy with transurethral resection results, often remaining, and will add a wide range of fulguration of bladder irritation. And the operation is relatively difficult. For extensive lesions involving the bladder trigone and bladder neck, or the occurrence of cancer have been found locally, should radical resection of bladder _5], non-surgical conditions and non-surgical patients, regular cystoscopy is necessary to monitor means to help identify the progress of disease and monitoring of suspicious pathology organizations. Cystitis glandularis easy to relapse, there is reports of malignant transformation l6]. Electrocautery surgery, indwelling catheter 13d. 1 week after 2o plus saline 40rnl with mitomycin or pirarubicin 2Otng plus water for injection 40rnl or thiophene for camp,[link widoczny dla zalogowanych], a 5 FU, mitomycin, HCPT intravesical various drugs through the urethra into the reserved liquid 2o30min, 10 times to 1 time per month, 6 months later cystoscopy and biopsy. We summarize the past 5 years of treatment in 15 cases, the basic use of TUR and bladder. Achieved satisfactory results. Visit 3-6 months, 9 patients were cured, 4 cases improved and 2 cases were ineffective, efficiency 86.7%. Therefore, we believe that cystoscopy is the diagnosis of cystitis glandularis, check the effectiveness of treatment and disease outcome the most direct and effective method.