Matsuta Yosuke, Moriyama Norihiro, Oyama Nobuyuki, Miwa Yoshiji, Akino Hironobu, Yokoyama Osamu, Kaizaki Yasuji
The Department of Urology, Tannan Regional Medical Center.
Hinyokika Kiyo. 2010 Jan;56(1):35-9.
A 58-year-old woman presented to our emergency room with cystitis-like symptoms and macroscopic hematuria. Her symptoms were improved by the administration of an antibiotic, but transabdominal ultrasonography revealed a mass in her pelvis. The pelvic magnetic resonance imaging (MRI) depicted a solid tumor in the retropubic space. The patient requested hasty surgical excision of the tumor, rather than the conservative treatment after the diagnosis by cytology and biopsy. The postoperative histopathological examination revealed nodular fasciitis. She has been followed up for 8 months without any evidence of local recurrence. Nodular fasciitis is a mesenchymal lesion of proliferated fibroblast and commonly occurs in the subcutaneous tissue of the extremities. Frequently, it resembles a sarcoma, but it is said to be a benign disorder. In the urological domain, 14 intravesical cases have been reported. To our knowledge, this is the first case of the nodular fasciitis arising in the pelvis. We report this case and discuss the literature.
一名58岁女性因膀胱炎样症状和肉眼血尿就诊于我院急诊室。使用抗生素后其症状有所改善，但经腹部超声检查发现盆腔有一肿块。盆腔磁共振成像（MRI）显示耻骨后间隙有一实性肿瘤。患者要求对肿瘤进行快速手术切除，而非在通过细胞学和活检确诊后进行保守治疗。术后组织病理学检查显示为结节性筋膜炎。她已接受8个月的随访，无任何局部复发迹象。结节性筋膜炎是一种由成纤维细胞增生形成的间质性病变，常见于四肢皮下组织。它常类似肉瘤，但据说是一种良性疾病。在泌尿外科领域，已有14例膀胱内病例报道。据我们所知，这是首例发生于盆腔的结节性筋膜炎病例。我们报告此病例并讨论相关文献。
