AI Article Synopsis
- - A 46-year-old man exhibited urinary urgency, and imaging suggested he had invasive bladder cancer due to an irregular and thick bladder wall.
- - Following a cystoscopy, he was diagnosed with T1 urothelial carcinoma and opted for intravesical Bacillus Calmette-Guérin treatment, resulting in no residual disease and no recurrence over two years.
- - The case highlights the importance of recognizing eosinophilic cystitis as a potential coexisting condition in patients with similar bladder abnormalities, prompting further investigation.
Article Abstract
Introduction: Here, we present a rare case of eosinophilic cystitis coexisting with bladder cancer, which appeared to be an invasive carcinoma on imaging.
Case Presentation: A 46-year-old man presented with urinary urgency. Computed tomography revealed an irregular and thickly enhanced bladder wall, which seemed to be invasive bladder cancer. Cystoscopy revealed a raspberry-like mass lesion on the entire bladder circumference. Pathological diagnosis after transurethral resection was pathological T1 urothelial carcinoma. After a thorough discussion of treatment options, the patient elected to receive intravesical Bacillus Calmette-Guérin. Three months after Bacillus Calmette-Guérin administration, no residual disease was confirmed by transurethral biopsy, and no recurrence was observed over 2 years. As peripheral eosinophilia and submucosa eosinophil infiltration were identified, the patient was diagnosed with coexisting eosinophilic cystitis and urothelial carcinoma.
Conclusion: Clinicians should consider the possibility of eosinophilic cystitis with superficial bladder cancer coexistence in patients who present with an irregular and thick bladder wall.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10315242 | PMC |
| http://dx.doi.org/10.1002/iju5.12594 | DOI Listing |
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