title: A Rare Case of Hematuria; Primary Amyloidosis of the Bladder Neck.
abstract: Primary and localized amyloidosis of the urinary tract is considered to be a rare clinical entity with approximately 160 cases documented in the literature. Here we present a case of a 77 year old gentleman with painless visible hematuria. Flexible cystoscopy revealed abnormal and polypoidal bladder mucosa. Transurethral resection of these lesions revealed histology with congo-red staining and positive green-apple birefringence, these findings are consistent with amyloidosis. There has so far been no sign of recurrence in this gentleman, with routine cystoscopic surveillance. Here we present a literature review on the presentation, diagnosis and management of this rare condition.
authors.affiliation: Glan Clwyd Hospital, Besti Cadwalladr NHS Trust, UK.
authors.forename: Sotonye
authors.initials: S
authors.lastname: Tolofari
authors.affiliation: Glan Clwyd Hospital, Besti Cadwalladr NHS Trust, UK.
authors.forename: Asif
authors.initials: A
authors.lastname: Ansari
authors.affiliation: Glan Clwyd Hospital, Besti Cadwalladr NHS Trust, UK.
authors.forename: Ross J
authors.initials: RJ
authors.lastname: Knight
keywords: Amyloidosis; Bladder; Bladder neck; Hematuria; Primary