膀胱炎性肌纤维母细胞瘤合并腺性膀胱炎1例报告  

Inflammatory myofibroblastic tumor of the bladder combined with cystitis glandularis:a case report

作　　者：石水波 陈涛[1] 李冬水[1] Shi Shuibo;Chen Tao;Li Dongshui(Department of Urology,the First Affiliated Hospital of Nanchang University,Nanchang 330006,China)

机构地区：[1]南昌大学第一附属医院泌尿外科,南昌330006

出　　处：《中华泌尿外科杂志》2023年第4期307-308,共2页Chinese Journal of Urology

摘　　要：本文回顾性分析1例膀胱炎性肌纤维母细胞瘤合并腺性膀胱炎患者的临床资料。患者因肉眼血尿, 偶伴尿痛20余天入院。术前影像检查提示膀胱前壁占位性病变, 大小约7.7 cm×6.1 cm×4.4 cm, 考虑膀胱癌可能性大。行机器人辅助腹腔镜膀胱部分切除术, 术后病理诊断为膀胱炎性肌纤维母细胞瘤合并腺性膀胱炎。膀胱炎性肌纤维母细胞瘤是一种起源于膀胱间叶组织的真性肿瘤, 属于临床罕见病, 合并有腺性膀胱炎目前尚未见报道。由于本病的临床表现和影像学检查表现与膀胱恶性肿瘤难以鉴别, 易造成误诊, 确诊主要依靠病理检查和免疫组化染色检查。治疗方法为经尿道膀胱肿瘤切除术、膀胱部分切除术或根治性膀胱切除术。This article reported a case of Inflammatory myofibroblastic tumor of the bladder combined with cystitis glandularis.The patient was admitted to the hospital after hematuria for more than 20 days and occasionally accompanied with dysuria.Preoperative imaging examination showed a space-occupying lesion on the anterior bladder wall,with a size about 7.7 cm×6.1 cm×4.4 cm,considering the possibility of bladder cancer.Laparoscopic robot-assisted partial cystectomy was performed,and the postoperative pathological diagnosis was cystitis myofibroblastic tumor combined with cystitis glandularis.Cystitis myofibroblastic tumor is a true tumor originating from the bladder parenchyma,which is a rare clinical disease,and it combined with cystitis glandularis has not been reported.Because its clinical manifestations and imaging manifestations are difficult to distinguish from bladder malignant tumors,the diagnosis mainly depends on pathology and immunohistochemistry stain.

关 键 词：膀胱肿瘤 膀胱炎性肌纤维母细胞瘤 腺性膀胱炎 诊断 治疗 

分 类 号：R699.5[医药卫生—泌尿科学] R737.14[医药卫生—外科学]