Müllerianosis of the urinary bladder: clinical and immunohistochemical findings

Donné, C; Vidal, Marc; Buttin, X.; Becerra, Patricia; Carvia, Rafael E.; Zuluaga, Armando; Nogales, Francisco F.

doi:10.1046/j.1365-2559.1998.0482f.x

Cited by 42 publications

(49 citation statements)

References 3 publications

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“…The stroma was myxoid, with interspersed stromal lymphoid aggregates and hemosiderin-ladden macrophages. Lamina propria and muscularis propria contained numerous glands and stroma typical of mullerianosis [3,6] ( Fig. 1).…”

Section: Resultsmentioning

confidence: 99%

“…The so-called mullerianosis of the urinary bladder is a rare tumor-like lesion composed of various types of mullerianderived tissues such as glands lined with endometrial, endocervical and tubal epithelium, and endometrial stroma [3,6]. The lesion occurs in female patients of reproductive age, and its pathogenesis appears to be similar to that of ordinary endometriosis [1][2][3][4]6].…”

Section: Introductionmentioning

confidence: 99%

“…The lesion occurs in female patients of reproductive age, and its pathogenesis appears to be similar to that of ordinary endometriosis [1][2][3][4]6]. In this paper, we would like to describe an additional case, in which an unusual association with glandular cystitis of intestinal type was observed besides the typical clinicopathological features.…”

Section: Introductionmentioning

confidence: 99%

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Mullerianosis of the urinary bladder: report of a case with suggested metaplastic origin

et al. 2006

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Mullerianosis of the urinary bladder is a very rare and morphologically complex tumor-like lesion. It is composed of several types of mullerian-type lesions, including endometriosis, endocervicosis, and endosalpingiosis. This disease occurs in women of the reproductive age group. In the pathogenesis, implantative and metaplastic origins have been suggested, and they are still under discussion. In the present report, a rare case of this lesion in a 41-year-old woman is described. The bladder contained, in addition to typical mullerianosis, glandular cystitis with focal intestinal metaplasia. An interesting and, to our knowledge, hitherto unreported feature was a rare continuity between the glands of mullerianosis and glands of glandular cystitis. The histologic and immunohistochemical findings in the present case support strongly the metaplastic origin of mullerianosis.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Mullerianosis of the urinary bladder: report of a case with suggested metaplastic origin

et al. 2006

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“…[10][11][12] As for the other pathologic conditions including endometrial lesions, fewer than 20 cases of Müllerianosis of the bladder have been reported. [13][14][15] This rare entity is characterized by the presence of an admixture of at least 2 types of Müllerian tissue leading to endometriosis, endocervicosis, and endosalpingosis in the lamina propria and muscularis propria of the bladder. Müllerianosis can occur without any history of pelvic surgery and the histologic and immunohistochemical features support the idea of a metaplastic origin in embryonic duct remnants.…”

Section: Discussionmentioning

confidence: 99%

Scar Endometriosis in a Patient With Bladder Exstrophy

Kitajima

Inoue

Uchida

et al. 2013

International Surgery

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Endometriosis is an ectopic occurrence of tissue morphologically and functionally resembling endometrial tissue in regions outside the uterine cavity. Although scar endometriosis after surgery has been shown to be most common among all the extrapelvic forms of endometriosis, endometriosis after bladder exstrophy surgery has not been reported, and here we present the first known case. A 26-year-old woman with a history of bladder exstrophy was aware of a painful induration at the operative scar located in the left lower abdominal wall, and presented at our hospital. Although the symptoms resolved, recurring exacerbation was observed after 9 months. Abdominal magnetic resonance imaging showed a heterogeneous mass 16 mm in diameter in the left abdominal wall with high signal intensity on T1W1 and T2W1 images. She underwent excisional biopsy of the lesion under general anesthesia. Histopathology confirmed the diagnosis of endometriosis. Eighteen months after surgery, she was well and free from recurrence.

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“…The hormonal dependence of endometrial tissue can be confirmed histologically with immunohistochemical techniques using estrogen and progesterone antibodies [33]. There have been reports in women with endometriosis of an increase in serum CA-125, an antigen that is present in, but not specific to, all epithelia derived from the Müllerian duct, both normal and anomalous, whether benign or malignant [2,9,10,34]. This antigen is used mainly to monitor treatment efficacy.…”

Section: Clinical Datamentioning

confidence: 99%

Update on the diagnosis and treatment of bladder endometriosis

Pastor-Navarro¹,

Giménez-Bachs²,

Donate-Moreno³

et al. 2007

Int Urogynecol J

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Bladder endometriosis is rare, although the bladder is the urinary tract structure most often affected by this condition. The common clinical manifestations of bladder endometriosis include menouria and urethral and pelvic pain syndrome occurring cyclically. Imaging methods are not conclusive for the definitive diagnosis. Cystoscopy is the most useful diagnostic test with confirmation by histologic study. Treatment must be individualized according to the patient's age, desire for future pregnancies, the severity of the symptoms, the site affected, and whether other organs are involved. Two types of treatment are currently used as follows: medical-hormonal and surgical.

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Müllerianosis of the urinary bladder: clinical and immunohistochemical findings

Cited by 42 publications

References 3 publications

Mullerianosis of the urinary bladder: report of a case with suggested metaplastic origin

Mullerianosis of the urinary bladder: report of a case with suggested metaplastic origin

Scar Endometriosis in a Patient With Bladder Exstrophy

Update on the diagnosis and treatment of bladder endometriosis

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