Cancer UrologyCancer UrologyОнкоурология1726-97761996-1812Publishing House ABV Press51210.17650/1726-9776-2016-12-1-90-96CLINICAL CASEКЛИНИЧЕСКИЙ СЛУЧАЙBladder endometriosis mimicking urinary bladder carcinoma: A review of literature and a description of 3 own casesЭндометриоз под маской рака мочевого пузыря (обзор литературы и описание трех собственных наблюдений)DavidovM. I.ДавидовМ. И.
Russian Federation

26, Petropavlovskaya St., Perm 614990

зав. курсом урологии, доцент, кандидат медицинских наук, председатель Пермского краевого общества урологов, онкоурологов и андрологов,

614990, Пермь, Петропавловская, 26

midavidov@mail.ruPonomarevaT. B.ПономареваТ. Б.
Russian Federation

26, Petropavlovskaya St., Perm 614990

доцент кафедры патологической анатомии, кандидат медицинских наук, врач патанатом высшей категории,

614990, Пермь, Петропавловская, 26

urology_psmu@mail.ruAcad. E.A. Vagner Perm State Medical UniversityГБОУ ВПО «Пермский государственный медицинский университет им. акад. Е.А. Вагнера»3003201612190960611201511022016https://oncourology.abvpress.ru/oncur/article/view/512

The authors consider the prevalence, etiology, pathogenesis, symptoms, diagnosis, differential diagnosis, and surgical treatment of bladder endometriosis on the basis of 3 own cases and an analysis of 384 cases described in world literature. It has been established that endometriosis may mimic bladder carcinoma. The detection of the cyclic pattern of gross hematuria and other symptoms (during menstruation) and that of the characteristic type of tumorous endrometrioid mass at cystoscopy performed during or just prior to menstruation are of key importance for the differential diagnosis of endometriosis and carcinoma. Indications for open resection of the bladder, transurethral resection, and minimally invasive laparoscopic surgery are determined.

Рассмотрены распространенность, этиология, патогенез, симптоматика, диагностика, дифференциальная диагностика и оперативное лечение эндометриоза мочевого пузыря на основе 3 собственных наблюдений и анализа 384 случаев, описанных в мировой литературе. Установлено, что эндометриоз нередко может протекать под маской рака мочевого пузыря. В дифференциальной диагностике эндометриоза от рака главное значение имеют выявление циклического характера макрогематурии и других симптомов (сопутствующих менструации), обнаружение характерных признаков опухолевидного эндометриоидного образования при цистоскопии, выполненной во время менструации или непосредственно перед ней. Определены показания к открытой резекции мочевого пузыря, ТУР и мини-инвазивной лапароскопической операции.

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