In the 69 cases of cystitis glandularis accompanied with upper urinary tract obstruction, 42 were treated by transurethral electrovaporization on bladder inflammatory lesion and ureteroscopic surgery to remove the cause of upper ureteral obstruction, 25 cases only were treated by ureteroscopic surgery and the remaining 2 did not receive treatment.
With changes in the social environment, the development of urological endoscopic technology, the improvement of urologist's comprehension and the amelioration of the pathological diagnosis, the incidence of cystitis glandularis is increasing.
Differential Diagnoses of Bladder Benign and Malignant Lesions With Glandular Differentiation, Other Than Secondary Adenocarcinoma Cystitis glandularis and Benign glandular cystitis cystica differentiation and cystic dilation in the von Brunn nests without cytologic atypia or infiltrating patterns.
The benign lesions include cystitis cystica, cystitis glandularis, von Brunn nests, nephrogenic adenoma, mesonephric remnant, intestinal metaplasia, and urachal remnant.
Cystoprostatectomy and neobladder construction for florid cystitis glandularis.
Cystoprostatectomy with ileal neobladder for treatment of severe cystitis glandularis in an AIDS patient.
Focal lymphoepithelial lesions were seen in the biopsies of cases 2 and 4, and in both cases the involvement was restricted to areas of cystitis glandularis (Figure 2).
These authors found lymphoepithelial lesions in 1 case, which was the only case showing cystitis glandularis.
In a fourth case, which was complicated by the coexistence of cystitis glandularis and mucus dissection of the bladder, the catheterized urine sample contained strands of extracellular mucin and columnar cells with abundant vacuolate cytoplasm.
Prostatic epithelial proliferations and florid cystitis glandularis should be considered in the differential diagnosis of urine samples containing columnar epithelial cells.
As such, it can also mimic the glandular neoplastic lesions discussed in the differential diagnosis of cystitis cystica and cystitis glandularis.
Cystitis glandularis is used when the epithelium lining the cysts undergoes glandular metaplasia (Figure 22, B); if that epithelium acquires intestinal-type goblet cells (Figure 22, C), then the term cystitis glandularis with intestinal metaplasia is used.
2009 Morphological evaluation of cystitis glandularis
Benign diverticular lesions usually involve inflammatory histologic changes, such as cystitis cystica and cystitis glandularis
, tissue granuloma and cellular atypia.
65) Cystitis glandularis
can have intestinal metaplasia, with presence of columnar cells and interspersed goblet cells that resemble intestinal mucosa; it is then referred to as cystitis glandularis
of intestinal type.