title: [Primary amyloidosis in the bladder: diagnostic and therapeutic update].
abstract: We describe an additional case of primary amyloidosis of the bladder whose form of presentation warranted a differential diagnosis from carcinoma of the bladder. The diagnosis was made on the histological findings and the immunohistochemical analyses revealed amyloid fibrils that reacted against the light chain lambda antiserum. The treatment of choice was TUR, which resolves the condition in most of the cases. Conservative surgery, however, does not prevent new deposits and undetected residual lesions may persist, which may warrant other complementary procedures in these patients. After the diagnosis has been made, it is important to discard systemic amyloidosis.
authors.affiliation: Servicio de Urología, Hospital San Juan, Alicante, España.
authors.forename: C
authors.initials: C
authors.lastname: López López
authors.forename: J
authors.initials: J
authors.lastname: Romero Maroto
authors.forename: M J
authors.initials: MJ
authors.lastname: Mayol Bedta
authors.forename: J A
authors.initials: JA
authors.lastname: Onrubia Pintado
authors.forename: J M
authors.initials: JM
authors.lastname: Quilez Fenoll
mesh_terms: D000368:Aged; D000686:Amyloidosis / Q000175:diagnosis / Q000628:therapy; D005260:Female; D006801:Humans; D001745:Urinary Bladder Diseases / Q000175:diagnosis / Q000628:therapy
vernacular_title: Amiloidosis primaria de localización vesical: actualización diagnóstica y terapéutica.