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Abdome

14/07/2023
Da Redação

Histórica clínica

Homem, 55 anos
Sensação de estranguria há quatro anos, refratário ao uso de Daxosozina, 2 mg, por um ano e meio
Exame físico: NDN
Antecedentes: vasectomia
Ultrassom de próstata: relato de lesão de bexiga

Figuras

Ressonância magnética da pelve

Exame anatomopatológico

Exclui adenocarcinoma – ausência de: atipias; displasias; mitoses; necrose; padrão cribriforme de crescimento.

Ressonância magnética da pelve – controle

Leia a discussão do caso

Cistite cística e cistite glandular

Francisco Yuri Pinto Dantas – Med.Int.

Orientadora: Kamila Seidel Albuquerque

Colaboração: Maria Helena Naves Inácio Pedroso e Rafael Teixeira

Comumente coexistem.
Cistite cística – cistificação dos ninhos de von Brunn
Cistite glandular – metaplasia glandular
Diagnostico é morfológico.
Doença inflamatória reativa crônica relativamente comum.
Geralmente ocorre no trígono da bexiga urinária
Causas: obstrução crônica da saída da bexiga; lipomatose pélvica; hipertrofia prostática benigna; carcinoma de células uroteliais da bexiga; infecção crônica; cálculos vesicais.
Tratamento: acompanhamento; remoção da fonte da irritação; cistectomia (raramente).

Take-home message

Suspeitar nos casos de cistite focal
Acometimento do trígono vesical
Ausência de restrição

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