PMC6110568_01
Bladder wall thickeness
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It was vascularized on color Doppler ultrasound (Figure 1, Figure 2).
Enlarged prostate of 60 gr
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It was vascularized on color Doppler ultrasound (Figure 1, Figure 2).
Axial T2 weighted sequence showed an enlarged prostate gland associated with a lobulated arising from the cystic floor
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The MRI showed a pseudotumoral bladder wall thickening associated with vesical floor budding with prostate median lobe infiltration (Figure 3, Figure 4).
The bladder floor mass presents as a low signal mass on T1, heterogenious signal on T2 with central branching hyperintensity.This central hyperintensity showed an avid enhancement on contrast administration and represents the vascular stalk. These findindings, are evocative of Cystitis glandularis
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The MRI showed a pseudotumoral bladder wall thickening associated with vesical floor budding with prostate median lobe infiltration (Figure 3, Figure 4).
The lesions consisted of a proliferation of glands in the lamina propria, lined by columnar epithelium, with mucin production. There was no significant nuclear hyperchromasia, pleomorphism. (H-E x 40)
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The pathological examination concluded to a glandular cystitis without any indicative of malignancy (Figure 5).
Benign prostatic hyperplasia involving both glands and stroma. The hyperplasicglands are, well-differentiated, crowded, separated by stroma, with corpora amylacea in the lumens (H-E x 40)
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The pathological examination concluded that it was a benign prostate hyperplasia (Figure 6, Figure 7).
Low power view of an area of stromal hyperplasia with bundles of smooth muscle. (H-E x 40)
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The pathological examination concluded that it was a benign prostate hyperplasia (Figure 6, Figure 7).