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Revista Mexicana de Urología

Organo Oficial de la Sociedad Mexicana de Urología
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2019, Number 4

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Rev Mex Urol 2019; 79 (4)

Bladder endocervicosis: an unusual pathology. A clinical case report and review of the literature

Gutiérrez-Zurimendi G, García-Olaverri RJ, Urresola-Olabarrieta A, García de Casasola-Rodríguez G, Carlevaris-Fernández A, Lecumberri-Castaños D, Zabala-Egurrola JA, Arruza-Echevarría A
Full text How to cite this article

Language: Spanish
References: 8
Page: 1-7
PDF size: 973.46 Kb.


Key words:

Endocervicosis, Endosalpingiosis, Endometriosis, -Müllerianosis, Bladder mass, Partial cystectomy, Transurethral resection.

ABSTRACT

Background: Endocervicosis of the urinary bladder is a rare benign entity that should be kept in mind in the differential diagnosis of a bladder tumor. It normally presents as a bladder mass in young women (if it is present with endometriosis and endosalpingiosis it is known as müllerianosis) or in older women with a previous history of gynecologic surgery, such as cesarean section or hysterectomy. Its clinical presentation is usually nonspecific, and it tends to be diagnosed as an incidental anatomopathologic finding after lesion exeresis.
Case Report: A 35-year-old woman presented with nonspecific urinary symptoms and a bladder mass found to be consistent with endocervicosis. A later magnetic resonance imaging study revealed associated endometriosis. A review of the literature was conducted.
Discussion: Although infrequent, endocervicosis of the urinary bladder should be considered in the differential diagnosis of bladder tumors in women and confirmed through anatomopathologic diagnosis. Treatment is based on complete exeresis of the lesion through transurethral resection of the bladder or partial cystectomy. After more than 10 years of follow-up, our patient has not presented with symptoms, recurrence, or malignization.


REFERENCES

  1. Julié et al. (2002). Endocervicosis of the Urinary Bladder. Immunohistochemical Comparative Study between a New Case and Normal Uterine Endocervices. Pathol. Res. Pract., 2002, 198: 115–120

  2. Cheah et al. (2011). Unusual finding of endocervical- like mucinous epithelium in continuity with urothelium in endocervicosis of the urinary bladder. Diagnostic Pathology, 2011, 6:56

  3. González-Satué et al. (2004). Endocervicosis vesical: excepcional causa de masa vesical. Actas Urol Esp. (2004) 28 (9): 677-679, 2004

  4. Preusser et al. (2008). Submucosal endocervicosis of the bladder: An ectopic, glandular structure of Müllerian origin. Scandinavian Journal of Urology and Nephrology, 2008; 42: 88_90

  5. Heretis et al. (2009). Endocervicosis of the Bladder: Report of a Case and Review of the Current Literature. Int J Clin Exp Pathol (2009) 2, 91-94

  6. Rodríguez et al. (1997). Endocervicosis of the bladder: a rare mucinous analogue of endometriosis. The Journal of Urology. Vol. 167,1355. April 1997

  7. Habiba et al. (2018) Müllerianosis, Endocervicosis, and Endosalpingiosis of the Urinary Tract: A Literature Review. Reproductive Sciences XX(X). DOI: 10.1177/1933719118773441

  8. Clement PB, Young RH. Endocervicosis of the urinary bladder. A report of six cases of a benign mullerian lesión that may mimic adenocarcinoma. Am J Surg Pathol 1992;/16:/533.




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Rev Mex Urol. 2019;79