Inflammatory pseudotumor of urinary bladder

Inflammatory pseudotumor of urinary bladder
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DOI:
10.3349/ymj.2000.41.2.273
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发表时间:
2000-04-01
影响因子:
2.4
通讯作者:
Kwon, KW
Kwon, KW
中科院分区:
医学4区
文献类型:
--
作者:
Byun, YJ;Chung, BH;Kwon, KW

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一位先前健康的44岁男性,以间歇性肉眼血尿为主诉入院。在最初的超音波及电脑断层检查中,发现一个明显突出的膀胱内肿瘤,在恶性膀胱肿瘤的印象下,进行了经尿道切除术。组织学表现为黏液样间质中分布的梭形细胞,胞浆延长,核分裂像罕见,符合膀胱炎性假瘤的诊断。良性肿瘤的性质保证保守的手术治疗,通常包括经尿道切除或部分膀胱切除。完全切除后未报告转移。因此,对这一实体的任何怀疑和承认都是必要的,以避免执行不可逆转的激进程序。
A previously healthy 44-year-old male was admitted with the chief complaint of intermittent gross hematuria. On initial ultrasonographic and CT examination, a grossly protruding intravesical tumor was noted and, under the impression of a malignant bladder tumor, transurethral resection was performed. The histological findings were spindle cells with elongated cytoplasm with rare mitotic figures distributed in myxoid stroma, consistent with diagnosis of inflammatory pseudotumor of the bladder. The benign nature of this tumor warrants conservative surgical management, usually consisting of transurethral resection or partial cystectomy. No reports of metastasis have been reported following complete excision. Therefore, any suspicion and recognition of this entity is imperative to avoid performing an irreversible radical procedure.