The importance of re-evaluation in patients with cystitis glandularis associated with pelvic lipomatosis: a case report.
Pelvic lipomatosis is a rare, proliferative disease involving an overgrowth of normal fat in the pelvic retroperitoneal space. Cystitis glandularis, cystitis cystica, or cystitis follicularis can be observed in 75% of patients with pelvic lipomatosis. We describe a 58-yr-old man with pelvic lipomatosis in whom adenocarcinoma of the bladder was diagnosed in the second transurethral resection of the bladder 1 month after the first operation. This proliferative disease can cause obstruction of the bladder drainage leading to a proliferative cystitis because of an altered environment rich in protein fluid. Because the association of this proliferative disease with adenocarcinoma of the bladder is frequent, we recommend close follow-up of these patients to detect the associated adenocarcinoma of the bladder.
Department of Urology, Gazi University School of Medicine, Tandoğan, Turkey. sinansozen@usa.net
Sinan
S
Sözen
Serhat
S
Gürocak
Nükhet
N
Uzüm
Hasan
H
Biri
Leyla
L
Memiş
Ibrahim
I
Bozkirli
D000230:Adenocarcinoma / Q000473:pathology*; D003556:Cystitis / Q000209:etiology*; D006801:Humans; D008068:Lipomatosis / Q000150:complications* / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D014517:Ureteral Obstruction / Q000209:etiology; D001749:Urinary Bladder Neoplasms / Q000473:pathology*