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

Jan Koren, Jan Kořen, Jana Mensikova, Jana Menšíková, Petr Mukenšnábl, Petr Mukensnabl, Michal Zamecnik, Michal Zámečník
Virchows Archiv : an international journal of pathology · 2006 · vol. 449(2) , pp. 268–271 · doi:10.1007/s00428-006-0153-1 · PMID:16832656 · W1986967878
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This report describes a rare case of mullerianosis in a 41-year-old woman, with findings supporting a metaplastic origin due to continuity between mullerianosis and glandular cystitis glands.

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Abstract

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. Similar content being viewed by others

References

Al-Izzi MS, Horton LWL, Kelleher J, Fawcett D (1994) Malignant transformation in endometriosis of the urinary bladder. Histopathology 14:191–198 Clement PB, Young RH (1992) Endocervicosis of the urinary bladder. Am J Surg Pathol 16:533–542 Donne C, Vidal M, Buttin X, Becerra P, Carvia R, Zuluaga A, Nogales FF (1998) Mullerianosis of the urinary bladder. Clinical and immunohistochemical findings. Histopathology 33:290–292 New NE, Roberts PF (1990) Mucinous metaplasia in endometriosis of the bladder. Histopathology 16:307–308 Oliva E, Amin MB, Jimenez R, Young RH (2002) Clear cell carcinoma of the urinary bladder: a report and comparision of four tumors of mullerian origin and nine of probable urothelial origin with discussion of histogenesis and diagnostic problems. Am J Surg Pathol 26:190–197 Young RH, Clement PB (1996) Mullerianosis of the urinary bladder. Mod Pathol 9:731–737 Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Koren, J., Mensikova, J., Mukensnabl, P. et al. Mullerianosis of the urinary bladder: report of a case with suggested metaplastic origin. Virchows Arch 449, 268–271 (2006). https://doi.org/10.1007/s00428-006-0153-1 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00428-006-0153-1

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Condition tags

mesh:D004715

MeSH descriptors

Endometriosis Mullerian Ducts Urinary Bladder Urinary Bladder Diseases Adult Endometriosis Female Humans Metaplasia Mullerian Ducts Urinary Bladder Urinary Bladder Diseases

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