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Ureteral Washing Cytology of Localized Ureteral Amyloidosis - A Case Report-  

Lee, Won-Ae (Department of Pathology, National Health Insurance Corporation Ilsan Hospital)
Kie, Jeong-Hae (Department of Pathology, National Health Insurance Corporation Ilsan Hospital)
Jeen, Yoon-Mi (Department of Pathology, National Health Insurance Corporation Ilsan Hospital)
Lee, Mi-Kyung (Department of Pathology, National Health Insurance Corporation Ilsan Hospital)
Publication Information
The Korean Journal of Cytopathology / v.13, no.1, 2002 , pp. 38-41 More about this Journal
Abstract
Localized amyloidosis of the ureter is rare and clinically confused with neoplasm. We describe a case of localized amyloidosis of the ureter in which the presence of amyloid was detected in ureteral washing cytology. A 75-year-old female presented with gross hematuria. Abdominal CT and retrograde pyelography revealed hydronephrosis and hydroureter on the left side with abrupt narrowing of the distal ureter. Ureteral washing cytology yielded a hypocellular smear with many irregular clumps of amorphous, extracellar, waxy material. Biopsy sections demonstrated submucosal deposits of eosinophilic amorphous material which gave characteristic apple green birefringence with Congo-red stain under the polarized light. Familarity with the cytologic features of amyloid is helpful for preoperative diagnosis and proper treatment.
Keywords
Amyloidosis; Ureter; Washing cytology;
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