Müllerianosis of the urinary bladder may simulate a bladder cancer: a case report

Müllerianosis of the urinary bladder may simulate a bladder cancer: a case report

Authors

  • Tommaso Bocchialini Department of Urology, University-Hospital of Parma, Italy
  • Francesco Ziglioli University-Hospital of Parma, Italy
  • Gerardo Palmieri Department of General Surgery, University-Hospital of Parma, Italy
  • Antonio Barbieri Department of Urology, University-Hospital of Parma, Italy
  • Antonia Infranco Department of Obstetrics and Gynaecolgy, University-Hospital of Parma, Italy
  • Riccardo Milandri Department of Urology, University-Hospital of Parma, Italy
  • Elisa Simonetti Department of Urology, University-Hospital of Parma, Italy
  • Stefania Ferretti Department of Urology, University-Hospital of Parma, Italy
  • Umberto Maestroni Department of Urology, University-Hospital of Parma, Italy

Keywords:

Mullerianosis, Bladder lesion, Transurethral resection

Abstract

Müllerianosis is an extremely rare entity consisting of an admixture of 2 or more müllerian tissues. We report the case of a 61 years old woman who came to our attention with hypogastric pain and dysuria. She was in menopause and had a previous history of cesarean section. Ultrasound and CT-scan of the abdomen showed a proliferative bladder lesion close to the left ureteric orifice. Transurethral resection of the bladder (TUR-B) was performed. Histopathological examination of the specimens was negative for bladder cancer and revealed the presence of endosalpingeal tissue. Postoperative course was unremarkable as well as follow up at 12 months. A proper knowledge and awareness of this disease, even if rare, is necessary for an accurate differential diagnosis and to perform an appropriate treatment.

References

Young RH, Clement PB. Müllerianosis of the urinary bladder. Mod Pathol 1996; 9: 731-737.

Eskridge MR, Rovner ES, Payne KD, et al. MRI of endocervicosis: An unusual cause of clustered periurethral cystic masses involving the bladder. AJR Am J Roentgenol. 2007;188:W147–149

McSorley S, Kochman A, DeSouza J. Müllerianosis of the urinary bladder in a postmenopausal woman. Urology 2013;81:488-490

Edmondson JD, Vogeley KJ, Howell JD, et al. Endosalpingiosis of bladder. J Urol 2002; 167:1401-1402

Branca G, Barresi V. Müllerianosis of the urinary bladder: a rare tumor like lesion. Arch Pathol Lab Med. 2014;138:432-6

Koren J, Mensikova J, Mukensnabl P, et al. Müllerianosis of the urinary bladder: report of a case with suggested metaplastic origin. Virchows Arch 2006;449:268-271

Donne C, Vidal M, Buttin X, et al. Mullerianosis of the urinary bladder: clinical and immunohistochemical findings. Histopathology 1998;33:290-292

Maeda K, Kojima F, Ishida M, et al. Müllerianosis and endosalpingiosis of the urinary bladder: report of two cases with review of the literature. Int J Clin Exp Pathol 2014; 7:4408-4414

Jimenez-Heffernan JA, Sanchez-Piedra D, Bernaldo de Quiros L, et al. Endosalpingiosis (müllerianosis) of the bladder: a potential source of error in urinary cytology. Cytopathology 2000;11:348-353

Guan H, Rosenthal DL, Erozan YS. Mullerianosis of the urinary bladder: report of a case with diagnosis suggested in urine cytology and review of literature. Diagn Cytopathol 2012;40:997-1001

Amir RAR, Taheini KM, Sheikh SS. Mullerianosis of the Urinary Bladder: A case report. Case Rep Oncol 2018;11:206–211

Skinnider BF, Oliva E, Young RH, et al. Expression of alpha-methylacyl-CoA racemase (S) in nephrogenic adenoma: a significant immunohistochemical pitfall compounding the differential diagnosis with prostatic adenocarcinoma. Am J Surg Pathol 2004; 28:701-705

Garavan F, Grainger R, Jeffers M. Endometrioid carcinoma of the urinary bladder complicating vescical Mullerianosis: A case report and review of the literature. Virchows Arch 2004;444:587-589

Ogah K, Hartis R, Hilton P. Mullerianosis involving the urinary bladder. Int Urogynecol J 2012;23:123-125

Downloads

Published

30-04-2021

Issue

Section

Case Reports: Oncology and Hematology

How to Cite

1.
Bocchialini T, Ziglioli F, Palmieri G, Barbieri A, Infranco A, Milandri R, et al. Müllerianosis of the urinary bladder may simulate a bladder cancer: a case report. Acta Biomed [Internet]. 2021 Apr. 30 [cited 2024 Jul. 18];92(S1):e2021148. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/9825