膀胱平滑肌肉瘤一例报告  

A case report of primary bladder leiomyosarcoma

作　　者：张燕绒 卢毅 邱乾德 Zhang Yanrong;Lu Yi;Qiu Qiande(Department of Radiology,Yueqing People's Hospital of Zhejiang,Yueqing 325600,China;Department of Urology Surgery,Yueqing People's Hospital of Zhejiang,Yueqing 325600,China;Department of Imaging,Wenzhou People's Hospital of Zhejiang,Wenzhou 325000,China)

机构地区：[1]浙江省乐清市人民医院放射科,乐清325600 [2]浙江省乐清市人民医院泌尿外科,乐清325600 [3]浙江省温州市人民医院影像科,温州325000

出　　处：《中华泌尿外科杂志》2021年第12期946-947,共2页Chinese Journal of Urology

摘　　要：患者,女,61岁。因尿频、尿急,尿痛伴血尿15 d于2015年12月15日入院。查体:双肾区无叩击痛。尿常规:白细胞15/HP,红细胞104/HP。B超检查示膀胱前壁不规则低回声团块。CT检查示膀胱右前壁向腔内凸起软组织块影,呈分叶状,肿块边缘见弧形钙化影;增强示肿块持续强化。膀胱镜检查见膀胱右前壁分叶状软组织肿块向腔内凸起,提示肿瘤样病变。术前诊断为膀胱癌可能大。全麻下行开放式膀胱右前壁部分切除术,术后病理诊断为膀胱平滑肌肉瘤。术后2个月采用吉西他滨1.6 g+表柔吡星80 mg+顺铂30 mg方案化疗,1次/周,连续3个月后改为1次/月,持续1年后停药,患者无明显不良反应。术后随访2年,未见复发和转移征象。The patient,a 61-year-old female,was admitted to the hospital for 15 days of frequent urination,urgency,painful urination and hematuria.B-ultrasound showed irregular hypoechoic masses on the anterior wall of the bladder.CT showed that the right anterior wall of the bladder protruded into the cavity of the soft tissue mass,which was lobulated,and the edge of the mass showed arc-shaped calcification;enhancement shows that the mass continues to enhance.Cystoscopy showed a lobulated soft tissue mass protruding into the cavity on the right anterior wall of the bladder,and cystoscopy showed tumor-like lesions.The preoperative clinical and imaging diagnosis was a malignant tumor of the bladder.Open partial resection of the right anterior wall of the bladder under general anesthesia,and pathological diagnosis of bladder leiomyosarcoma after surgery.Adjuvant chemotherapy(gemcitabine 1.6 g+epirubicin 80 mg+cisplatin 30 mg)was started 2 months after the operation.The chemotherapy was discontinued after a year,and the patient had no obvious adverse reactions.There were no signs of recurrence and metastasis after a 2-year follow-up.

关 键 词：膀胱肿瘤 平滑肌肉瘤 体层摄影术 X线计算机 

分 类 号：R737.14[医药卫生—肿瘤]