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KMID : 0374920110320010073
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Inje Medical Journal
2011 Volume.32 No. 1 p.73 ~ p.79
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The Case Report of Bladder Amyloidosis in the patient with Gross Hematuria
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Kim Eun-Jin
Sung Hyun
Hong Su-Min
Jeong Seong-Yeon
Park Kyung-Sik
Sohn Hyung-Rae
Park Il-Kwon
Koo Ho-Seok
Koh Haeng-Il
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Abstract
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Amyloidosis is a disease resulting in deposition of amyloid in the body. The disease can be either primary or secondary. The amyloidosis of urinary bladder is more usually affected by primary amyloidosis and also very rare. The patient with primary amyloidosis of the bladder usually presents with gross hematuria. The amyloidosis resembles bladder cancer in cystoscopy. It can be confirmed by biopsy. The treatment consists of medication (e.g., steroid, antitumor agent, cholchicine, DMSO) and/or transurethral resection. The standard treatment is mephalan and prednisolone. A 49-year-old man complained of recently developed gross hematuria without abdominal pain. We examined urinary bladder cystoscope for gross hematuria. It revealed small bulging mass on trigone are a of bladder. Therefore we did bladder biopsy. Finally, it revealed bladder amyloidosis. The patient was improved by medication (mephalan 2mg and prednisolone 1 mg/kg po daily). We report an unusual case of amyloidosis involving bladder.
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KEYWORD
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Amyloidosis, Urinary bladder, Hematuria
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