Karray M S, Bacha K, Chelbi N, Hajri M, Mezni F, Ayed M
Service d'Urologie, CHU Charles Nicolle, Tunis, Tunisie.
Prog Urol. 1999 Feb;9(1):125-8.
The authors report two cases of bladder leiomyosarcoma, an extremely rare invasive bladder tumour, with a very poor prognosis due to very early local invasion. The definitive diagnosis can only be established by histological examination. The treatment modalities for this histological type of bladder tumour have not been standardized and remain controversial. However, the treatment of choice appears to be radical prostatocystectomy preceded by neoadjuvant chemotherapy when compatible with the patient's general state.
作者报告了两例膀胱平滑肌肉瘤,这是一种极其罕见的浸润性膀胱肿瘤,由于早期局部浸润,预后非常差。确诊只能通过组织学检查来确定。这种组织学类型的膀胱肿瘤的治疗方式尚未标准化,仍存在争议。然而,当与患者的一般状况相适应时,首选的治疗方法似乎是新辅助化疗后行根治性前列腺膀胱切除术。