キクチ エイジ   KIKUCHI EIJI
  菊地栄次
   所属   医学部医学科 腎泌尿器外科学
   職種   主任教授
論文種別 症例報告
言語種別 英語
査読の有無 査読あり
表題 Immunoglobulin G4-Related Disease Arising from the Bladder Wall.
掲載誌名 正式名:Urologia internationalis
略  称:Urol Int
ISSNコード:1423039900421138
掲載区分国外
巻・号・頁 103(4),488-490頁
著者・共著者 Kufukihara Ryohei, Niwa Naoya, Mizuno Ryuichi, Ohara Kentaro, Mikami Shuji, Kikuchi Eiji, Oya Mototsugu
発行年月 2019/11
概要 Immunoglobulin G4-related disease (IgG4-RD) is a recently described inflammatory disease with multiorgan involvement. Although there were reports of IgG4-related kidney disease or prostatitis, this disease rarely presents in the bladder. In this report, we describe a case of IgG4-RD arising from bladder wall. This patient had a past history of autoimmune pancreatitis and presented with incidental bladder tumor. Magnetic resonance imaging showed low signal intensity tumor on T2-weighted image, and no invasion to the muscular layer. We performed transurethral resection. Pathological findings showed that there were chronic inflammatory changes infiltrates under the epithelium, and IgG4-positive plasma cells were scattered throughout the lesion. They met the pathological diagnostic criteria for IgG4-RD. We think this is the first case of IgG4-RD arising from and confined to the inside of the bladder wall.
DOI 10.1159/000495570
PMID 30544121