Goldschneider K R, Forouhar F A, Altman A J, Yamase H T, Walzak M P
Pathology Department, University of Connecticut Health Center, Farmington 06032.
Ann Clin Lab Sci. 1990 Jan-Feb;20(1):22-7.
This is a case report of a low-grade leiomyosarcoma of the bladder in a four-year-old girl. The pitfalls in diagnosing a soft tissue tumor of the bladder in pediatric patients are discussed. This case is particularly instructive because the differential diagnosis was broad, difficult, and of serious consequence. This report discusses the process by which histologic, immunohistologic and ultrastructural data were used to sidestep the pitfalls in diagnosing this unusual tumor. Clinical follow-up data bearing out our conclusion are also presented.
这是一例4岁女童膀胱低度恶性平滑肌肉瘤的病例报告。文中讨论了小儿膀胱软组织肿瘤诊断中的陷阱。该病例特别具有指导意义，因为鉴别诊断范围广、难度大且后果严重。本报告讨论了如何利用组织学、免疫组织学和超微结构数据来避免诊断这一罕见肿瘤时的陷阱。还展示了支持我们结论的临床随访数据。
