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Long-term recurrence of primary amyloidosis of the bladder.

机译:膀胱原发性淀粉样变性的长期复发。

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An 84-year-old man presented to our department with a recurrence of a primary amyloidosis of the bladder 14 years after the first diagnosis. Follow-up had been stopped 5 years after the first procedure because no cystoscopic anomalies were noted. General evaluation confirmed the diagnosis of primary amyloidosis. The lesions were endoscopically resected. At the 3-year follow-up, the patient was free of symptoms and had remained cystoscopically free of disease. However, stable amyloidosis deposits have always been noted on the computed tomography scans. This case emphasizes the necessity of a longer follow-up, including computed tomography of the pelvis, during the 10 to 15 years after the first occurrence of the disease.
机译:首次诊断后14年,一名84岁的男子出现在我科,复发了膀胱原发性淀粉样变性。首次手术后5年已停止随访,因为未发现膀胱镜异常。总体评估证实了原发性淀粉样变性的诊断。内镜下切除病灶。在三年的随访中,患者没有症状,并且在膀胱镜检查下没有疾病。但是,始终在计算机断层扫描中可以发现稳定的淀粉样变性病沉积物。该病例强调了在首次发病后的10至15年内需要进行更长的随访,包括对骨盆进行计算机断层扫描。

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