Schneider G, Ahlhelm F, Altmeyer K, Aliani S, Remberger K, Schoenhofen H, Kramann B, Uder M
Department of Diagnostic Radiology, University Hospital, 66421 Homburg/Saar, Germany.
Eur Radiol. 2001;11(6):1024-9. doi: 10.1007/s003300000687.
We report two cases of inflammatory pseudotumors of the urinary bladder, one case of a chronic granulomatous pseudotumor (CGT) and one case of a pseudosarcomatous myofibroblastic (fibromyxoid) tumor (PMT). Both tumors resembled malignancies such as rhabdomyosarcomas regarding clinical appearance and imaging findings and represent rare urinary bladder tumors. The imaging findings on unenhanced and contrast-enhanced MRI as well as histological specimen are presented. Final diagnosis was made following elective surgery. Differential diagnosis of urinary bladder tumors as well as the imaging findings of these clinically comparable cases are discussed. Awareness of these benign lesions may prevent patients from inappropriate therapies such as chemotherapy or radiation therapy.
我们报告了两例膀胱炎性假瘤,一例为慢性肉芽肿性假瘤(CGT),另一例为假肉瘤性肌成纤维细胞(纤维黏液样)肿瘤(PMT)。这两种肿瘤在临床表现和影像学表现上均类似于横纹肌肉瘤等恶性肿瘤,是罕见的膀胱肿瘤。本文展示了未增强和增强MRI的影像学表现以及组织学标本。最终诊断是在择期手术后做出的。文中讨论了膀胱肿瘤的鉴别诊断以及这些临床特征相似病例的影像学表现。认识到这些良性病变可避免患者接受不适当的治疗,如化疗或放疗。