Asociación de cistopatia eosinofilica con carcinoma transicional vesical infiltrante

Nicolás Alberto Cruz Guerra, María Montserrat Chimeno Viñas, Inmaculada Ursúa Sarmiento, Emilia Martínez Velado, Alberto del Valle Manteca
2009 Archivos españoles de urología  
Resumen.-OBJETIVOS: Presentación de un caso de cistopatía eosinofílica asociada a carcinoma vesical infiltrante de células transicionales en adulto. MÉTODO: Describimos el caso de una paciente mujer de 79 años que refiere dolor meso e hipogástrico de varios meses de evolución, y a la que se detecta en escáner abdominal un engrosamiento parietal vesical durante el estudio de descarte de patología digestiva por parte del Servicio de Medicina Interna. La cistoscopia permitió confirmar dicho
more » ... firmar dicho hallazgo, junto a zonas de mayor protrusión endoluminal. La biopsia fría mostró la existencia de infiltrado inflamatorio con componente eosinofílico. Se indicó resección transuretral. Palabras clave: Cistopatía eosinofílica. Carcinoma de células transicionales. Cirugía. Summary.-OBJECTIVES: To report a case of eosinophilc cystopathy associated to infiltrative transitional-cell carcino ma of the bladder in an adult. METHODS: We describe the case of a 79-year-old wo man who complains of meso-and hipogastric pain since several months before, and to whom a parietal thickening of the bladder was detected by means of abdominal CT scan during the diagnostic work up for a digestive disease indicated by the Internal Medicine Service. Cistoscopy confirmed that finding, together with areas of greater endolu minal protrusion. Cold biopsy showed an inflammatory in filtrate with eosinophilic component. Transurethral resection was indicated. RESULTS: The pathological assessment was compatible with high-grade infiltrative transitional carcinoma of the bladder. The patient developed multiple lung metastases and died five months after surgery. CONCLUSIONS: Reports describing the coincidence of both entities are infrequent. We emphasize the importance of a correct filiation of apparently "pseudotumoral" endoluminal lesions.
doi:10.4321/s0004-06142009000900014 pmid:19959863 fatcat:odtnqymhpvhrjmn2mdxpxrbrxy