脐尿管软斑病累及膀胱1例报告  

Urachal malakoplakia involving the bladder:a case report

作　　者：杨柳 李岗[1] Yang Liu;Li Gang(Department of Urology,Heji Hospital Affiliated to Changzhi Medical College,Changzhi 046000,China)

机构地区：[1]长治医学院附属和济医院泌尿外科,长治046000

出　　处：《中华泌尿外科杂志》2023年第11期865-866,共2页Chinese Journal of Urology

摘　　要：软斑病是一种罕见的慢性肉芽肿性病变,临床误诊率极高,本文报道1例脐尿管软斑病累及膀胱。患者外院检查发现膀胱前上方与腹壁间占位性病变,行增强CT检查示脐尿管病灶累及膀胱顶壁,膀胱顶壁不规则样增厚、强化。行脐尿管肿瘤根治术+膀胱部分切除术,术后予抗菌药物治疗。病理诊断为脐尿管、膀胱软斑病。术后随访18个月,无局部复发及转移。Malakoplakia is a rare chronic neoplasm malady with advanced and variable etiologies and a high rate of clinical misdiagnosis.We reported a case of urachal malakoplakia involving the bladder.The patient was found a space-occupying lesion between the anterior superior of the bladder.The increased CT showed that the urachal lesion concerned the highest wall of the bladder,and therefore the high wall of the bladder was on an irregular basis thickened and increased.Urachal growth radical surgical operation combined with partial cystectomy was performed with the operative antibiotic medical aid.Pathological results showed urachal malakoplakia of the bladder.There was no local recurrence or metastasis during 18 months of follow-up.

关 键 词：膀胱软斑病 脐尿管肿瘤 治疗 

分 类 号：R737[医药卫生—肿瘤]