Urinary bladder xanthomatous cystitis
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Xanthomas are nonneoplastic, reactive tumor-like processes, usually arising in response to lipid profile disturbances, diseases with secondary hyperlipidemia, like primary biliary cirrhosis and diabetes mellitus and occasionally in normolipidemic states. However, only 50% of patients have hyperlipidemia. It has been suggested that endothelial, stromal, histiocytic and rarely, epithelial cells may be transformed into xanthoma cells. Xanthomas can also be secondary to local surgeries, trauma, or inflammation.Xanthomata occur more frequently in the skin, tendons, subcutaneous tissue and gastrointestinal tract, but, unlike them, urinary bladder xanthoma appears to be a rare condition. A 38-year-old female presented with abdominal pain and imaging was done which was suggestive of a malignant mass with surrounding tissue infiltration. Partial cystectomy was performed, and histological examination of the mass showed xanthomatous cystitis...

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