Müllerianosis of the urinary bladder.
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Abstract
Three women, 37, 44, and 46 years of age, had masses up to 4 cm in maximal size, which involved the posterior wall of the urinary bladder, treated by transurethral resection. Microscopic examination showed prominent involvement of the lamina propria and muscularis propria by tubules and cysts lined by müllerian-type epithelium; in two cases, the latter also focally replaced the urothelium and formed polypoid projections into the bladder lumen. The tubules and cysts were usually round to oval but occasionally exhibited prominent branching. In all three cases, the glands were predominantly lined by tubal-type epithelium (including ciliated cells, intercalated, and peg cells), that represented endosalpingiosis. Each case also contained a minor component of glands lined by columnar mucinous cells (endocervicosis). In one case, there was a minor component of typical endometriosis, and, in another, endometrioid epithelium was associated with prominent pseudoxanthoma cells in the adjacent stroma. On the basis of these three cases, striking endosalpingiosis of the urinary bladder, which has not been previously documented, is usually associated with endocervicosis, endometriosis, or both, and, in such cases, the designation "müllerianosis" is appropriate. Müllerianosis can be distinguished from adenocarcinoma and various non-neoplastic glandular lesions of the urinary bladder on the basis of a variety of architectural and cytologic features.
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Cited by (40)
- Müllerianosis of the Urinary Bladder: A Rare Condition Which Mimics Neoplasia 2021
- Mullerianosis of the urinary bladder; A case report 2021
- ♂♀ Müllerian Lesions of the Bladder: Endometriosis, Endosalpingiosis, Endocervicosis, and Müllerianosis 2019
- Mullerianosis of the Urinary Bladder: A Case Report 2018
- Endometriosis: A Rare Cause of Gross Hematuria 2018
- Disorders of the Peritoneum 2018
- Re: Umberto Leone Roberti Maggiore, Simone Ferrero, Massimo Candiani, et al. Bladder Endometriosis: A Systematic Review of Pathogenesis, Diagnosis, Treatment, Impact on Fertility, and Risk of Malignant Transformation. Eur Urol 2017;71:790–807 2017
- Polypoid endometriosis of the ovary and müllerianosis of pelvic lymph nodes mimicking an ovarian carcinoma with lymph node metastasis 2017
- Incidental vaginal müllerianosis 2016
- Evidence for lymphatic pathogenesis of endosalpingiosis: the more things change, the more they stay the same 2015
- Müllerianosis with intestinal metaplasia: a case report 2015
- Endometriosis, Endocervicosis and Müllerianosis of the Bladder 2014
- Combined Transurethral and Laparoscopic Partial Cystectomy and Robotically Assisted Bladder Repair for the Treatment of Bladder Endocervicosis: Case Report and Review of the Literature 2014
- Müllerianosis of the Urinary Bladder: A Rare Tumorlike Lesion 2014
- Müllerianosis and endosalpingiosis of the urinary bladder: report of two cases with review of the literature. 2014
- Florid cystic endosalpingiosis, masquerading as malignancy in a young patient: a brief review 2014
- Mullerianosis vesical 2013
- Müllerianosis vesical. A propósito de un caso 2013
- Müllerianosis: Four Developmental (Embryonic) Müllerian Diseases 2013
- Mullerianosis of the Urinary Bladder 2012
- Pitfalls in the diagnosis of endometriosis: a condition characterized by a plethora of unusual histological features 2011
- Müllerianosis of the Urinary Bladder 2011
- Mullerianosis of the urinary bladder: Report of a case with diagnosis suggested in urine cytology and review of literature 2011
- Tumors and Pseudotumors of the Secondary Müllerian System: Review With Emphasis on Cross-Sectional Imaging Findings 2010
- Arias-Stella reaction as a diagnostic pitfall in a bladder biopsy with endometriosis: Case report and review of the pseudoneoplastic bladder lesions 2009
- Mullerianosis vesical: una entidad muy infrecuente 2009
- Pathology of Endometriosis and Lesions of the Secondary Müllerian System 2008
- Müllerianosis of Ureter: A Rare Cause of Hydronephrosis 2007
- Mullerianosis of the urinary bladder: report of a case with suggested metaplastic origin 2006
- Spinal intradural müllerianosis: a case report. 2006
- Pathologic Quiz Case: A Woman With Chronic Pelvic Pain 2005
- Endometrioid carcinoma of the urinary bladder complicating vesical Mullerianosis: a case report and review of the literature 2004
- Endosalpingiosis, an unrecognized condition: report and literature review 2004
- Tumor‐like cystic endosalpingiosis of the uterus with florid epithelial proliferation 2004
- Recent Advances in Endometriosis With Emphasis on Pathogenesis, Molecular Pathology, and Neoplastic Transformation 2004
- Mullerianosis of the Mesosalpinx: A Case Report 2003
- Endocervicosis of the Urinary Bladder. Immunohistochemical Comparative Study between a New Case and Normal Uterine Endocervices 2002
- Anatomopathological lesions of bladder endometriosis are heterogeneous 2002
- Florid cystic endosalpingiosis of the uterus 2001
- Unilateral hydronephrosis resulting from intraluminal obstruction of the ureter by adenosquamous endometrioid carcinoma arising from disseminated endometriosis 2000
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