Cerrud Leonidas, Pimentel Edwin, de Gracia Arnoldo, González Oriel, Espino Gustavo
Servicio de Urología, Hospital Santo Tomás.
Rev Med Panama. 2002;27:34-6.
The inflammatory pseudotumor of the urinary bladder or pseudosarcomatous fibromyxoid tumor is a benign proliferative mesenchymal spindle cell process, usually polypoid. This rare benign lesion in the majority of the cases have been observed in children and young adults, with only a few cases reported in patients older than 50 years; there are approximately 75 cases in the literature. We present a case of inflammatory pseudotumor verified histologically and treated by tumoral resection and left ureteral reimplantation with antireflux technique. This patient presented initially macroscopic hematuria and required transfusions of packed red cells and frozen fresh plasma. This shows the importance of the diagnosis to establish the definitive treatment as early as possible.
膀胱炎性假瘤或假肉瘤性纤维黏液样肿瘤是一种良性增生性间叶性梭形细胞病变,通常呈息肉样。这种罕见的良性病变在大多数病例中见于儿童和年轻人,50岁以上患者仅有少数病例报道;文献中约有75例。我们报告一例经组织学证实的炎性假瘤,通过肿瘤切除及采用抗反流技术行左输尿管再植术进行治疗。该患者最初表现为肉眼血尿,需要输注浓缩红细胞和新鲜冰冻血浆。这表明尽早明确诊断以确立 definitive 治疗的重要性。 (注:“definitive”此处结合语境似有“确切的、决定性的”之意,但原英文表述可能有误,正常应为“definitive”,翻译存疑,供参考)