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作 者:邹飞[1] 赵锦洪 杨建新[1] ZOU Fei;ZHAO Jinhong;YANG Jianxin(Jiangxi Cancer Hospital,Nanchang,330029)
机构地区:[1]江西省肿瘤医院,330029 [2]南昌大学第二附属医院,330000
出 处:《实用癌症杂志》2021年第1期159-161,共3页The Practical Journal of Cancer
摘 要:目的探讨膀胱炎性肌纤维母细胞瘤(IMTB)的临床特点及CT影像学特征,加强认识以提高诊断水平。方法回顾性分析2例IMTB患者的临床与影像资料,并结合文献进行探讨。结果IMTB患者年龄偏小,以无痛性肉眼血尿和排尿困难为最常见症状,好发于顶壁、前壁及侧壁,增强呈“快进慢出”强化征象,无盆腔其它脏器或淋巴结转移。结论IMTB有一定临床特点,CT增强扫描延迟强化对诊断有较大提示作用,免疫组织化学染色可以提供确诊依据。Objective To evaluatie the clinical and CT manifestations of inflammatory myofibroblastic tumor of bladder(IMTB),and to improve the level of the differential diagnosis.Methods The clinical data and CT imagine features of 2 cases of IMTB were analyzed retrospectively,and the literatures were reviewed.Results IMTB tends to occur in young adults and children,the common symptoms were painless gross hematuria and dysuresia,it was commonly found in the superior or anterior or lateral wall,after enhancement the tumor shows fast in and slow out without pelvic organs and lymphaden metastasis.Conclusion IMTB has some clinical features,and CT manifestations,particularly the significant and consistent enhancement in delayed phase,provide the important clues for diagnosis.The final diagnosis relies on pathology and immunohistochemistry.
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