平滑肌瘤：一种罕见的膀胱肿瘤。
Leiomyoma: an unusual bladder neoplasm.
作者信息
Bullock R, Mayhew R, Gibson T, James M, Didier M, Nebhnani J
机构信息
Department of Surgery, Radiology, Anaesthetics and Intensive Care, University of the West Indies, Kingston, Jamaica.
出版信息
BMJ Case Rep. 2011 Aug 11;2011:bcr0120113739. doi: 10.1136/bcr.01.2011.3739.
The authors present a case of a 42-year-old lady who visited her gynaecologist with dysuria and a sensation of incomplete voiding for 2 weeks. Urine culture grew Escherichia coli and blood studies were normal. Pelvic ultrasound revealed a smooth well-defined mass arising from the bladder wall. She was referred to the urologist who requested CT and MRI for further evaluation. These modalities confirmed an intramural bladder mass with normal overlying mucosa. The mass was deemed contributory to her symptoms and a decision was made to excise the mass surgically. Via a transurethral approach, cystoscopy revealed a smooth well-circumscribed intramural mass. This was partially excised. The mass was found to be a leiomyoma. Except for an uncomplicated urinary tract infection, her postoperative course has been uneventful.
作者报告了一例42岁女性病例，该患者因尿痛和排尿不尽感就诊于妇科医生，症状持续2周。尿培养结果显示大肠埃希菌生长，血液检查正常。盆腔超声显示膀胱壁有一个边界清晰、表面光滑的肿块。她被转诊至泌尿科医生处，后者要求进行CT和MRI检查以进一步评估。这些检查证实膀胱壁内有肿块，其上覆黏膜正常。该肿块被认为是导致她症状的原因，因此决定手术切除肿块。通过经尿道途径，膀胱镜检查发现一个边界清晰、表面光滑的壁内肿块。肿块被部分切除。病理检查发现该肿块为平滑肌瘤。除了发生了一次单纯性尿路感染外，她的术后恢复过程顺利。
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