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Urol Ann. 2014 Jan;6(1):72-4. doi: 10.4103/0974-7796.127016.

A case of polypoid and papillary cystitis mimicking an advanced bladder carcinoma with invasion of perivesical fat.

Urology annals

Kumi Ozaki, Kiyohide Kitagawa, Toshifumi Gabata, Osamu Matsui

Affiliations

  1. Department of Radiology, Kouseiren Takaoka Hospital, Takaoka, Japan ; Department of Radiology, Kanazawa University Graduate School of Medical Science, Ishikawa, Japan.
  2. Department of Radiology, Kouseiren Takaoka Hospital, Takaoka, Japan.
  3. Department of Radiology, Kanazawa University Graduate School of Medical Science, Ishikawa, Japan.

PMID: 24669128 PMCID: PMC3963349 DOI: 10.4103/0974-7796.127016

Abstract

A rare case of polypoid and papillary cystitis without a history of catheterization is reported. A 69-year-old man was admitted to our hospital because of pain during urination and gross hematuria. The cystscopic and imaging findings including ultrasound, CT, and MR image showed an irregular wall thickening and stranding in the perivesical fat, which indicated an advanced bladder carcinoma, but histopathological findings obtained by transurethral resection revealed polypoid and papillary cystitis. Such benign lesions need to be discussed in the differential diagnosis of patients with bladder tumor to avoid excessive resection.

Keywords: Bladder carcinoma; MR imaging; perivesial fat stranding; polypoid and papillary cystitis

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