ekTHE IMPOSTER OF URINARY BLADDER CYSTITIS CYSTICA GLANDULARIS: CASE SERIES

Abstract

Background- Many types of benign lesions are seen in urinary bladder and they present as significant diagnostic challenge.  As these may present as entirely benign to aggressive malignant tumor. The lesion with no pre-malignant potential may include various proliferative and reactive processes such as cystitis cystica and cystitis glandularis.  There are often invaginations of hyperplastic urothelial extensions into superficial lamina propria called, Von Brunn’s nests.

Aims- The present study was aimed to report our experience of presentation, diagnosis and management of patients with glandular lesions of bladder.

Methods and materials- This was a retrospective study of 9 patients with urinary bladder glandular lesion who were hospitalised at the SP Medical college and PBM group of hospitals, Bikaner in Rajasthan from January 2022 to December 2023.  Data were obtained from hospital records. Patients whose follow up data were missing were excluded from the study.

Results- The median age was 50 (25-82) years and one was female and eight were males. The most common presenting symptoms were dysuria, frequency, hematuria, suprapubic pain, flank pain respectively. CT examination and Urine cytology evaluation for malignant cells were done in all patients. Most common location of lesion was posterior wall followed by postero-lateral wall. All patients underwent transuretheral resection under spinal anesthesia with obturator block as and when required according to location of tumor with bipolar resection under normal saline irrigation. In follow up period none of our patient had recurrence of growth. DJ stents in patients with upper tract changes were removed after 4 weeks.

Conclusion- This study also supports that cystitis cystica glandularis is no longer considered a precursor of bladder adenocarcinoma, and no pelvic lipomatosis was found in our cases.  cystitis glandularis increases the future risk of malignancy and none of their patients were associated with pelvic lipomatosis.