特殊案例報告: 膀胱尖形濕疣

蘇奕瑋、黃建榮、薛又仁、賴昱維、蕭毅君、李淑文、邱文祥

台北市立聯合醫院仁愛院區外科部泌尿科

A case report: Bladder condyloma acuminatum

Yi-Wei Su, Andy C. Huang, Thomas Y. Hsueh, Yu-Wei Lai, Yi-Chun Hsiao, Shu-Wen Li, Allen W. Chiu

Division of Urology, Department of Surgery, Taipei City Hospital Renai branch

Introduction:

Bladder condyloma is a rare condition. The incident rate is unknown with sporadic cases report around the world and most seen in immunosuppressed patients. Bladder condyloma may lead to lower urinary tract symptoms such as frequency, urgency or nocturia. Besides, hematuria and dysuria were noted in some cases. We presented a 67-year-old woman who underwent Transurethral removal of bladder tumor (TURBT) with the pathologic report showing bladder condyloma.

Case presentation: 

A 67-year-old woman who had the past medical history of undergoing abdominal total hysterectomy for uterine myoma and intraocular lens (IOL) implantation for bilateral cataract. She presented to gynecology Outpatient Department (OPD) with frequency, dysuria and burning sensation of urination for 1 month. Cystoscopy revealed a bladder tumor and she was then referred to urology OPD. Transurethral removal of bladder tumor (TURBT) was then performed with pathologic report showing bladder condyloma acuminatum. However, the pelvic Magnetic resonance imaging (MRI) was arranged later and disclosed focal wall thickening with mass configuration at urinary bladder dome up to 2.5cm in greatest dimension. Urothelial tumor was suspected. Partial cystectomy was performed smoothly and the final results revealed infiltrating UCC high grade with squamous differentiation (90%), invading deep muscularis propria with positive margin, initial T2bN2M0, stage IIIB. After the surgery, she underwent Concurrent Chemotherapy and Radiation Therapy (CCRT) and still under the treating course.

Conclusion: