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膀胱憩室内发生膀胱内出血性血管平滑肌脂肪瘤的一例特殊病例。

A singular case of intravesical bleeding angiomyolipoma in a bladder diverticulum.

作者信息

Chua Michael E, Geron Maria Anna Vanessa A

机构信息

Institute of Urology, St. Luke's Medical Center, Philippines.

出版信息

Can Urol Assoc J. 2013 Jan-Feb;7(1-2):E125-9. doi: 10.5489/cuaj.254.

DOI:10.5489/cuaj.254
PMID:23671502
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3650819/
Abstract

Neoplasms arising from intravesical diverticula are rare and considered by urologists as an important surgical challenge. A hamartomatous lesion noted in a bladder diverticulum has never been reported. To our knowledge, we report the first angiomyolipoma, a subtype of mesenchymal hamartoma uncommonly located extrarenally, seen in a bladder dome diverticulum. We discuss the dilemma on the management of such case, related literature and probable etiology.

摘要

膀胱憩室内发生的肿瘤较为罕见,泌尿外科医生认为这是一项重要的手术挑战。膀胱憩室内出现错构瘤样病变此前从未有过报道。据我们所知,我们报告了首例血管平滑肌脂肪瘤,这是一种间叶性错构瘤的亚型,罕见于肾外部位,见于膀胱顶部憩室内。我们讨论了该病例处理中的困境、相关文献及可能的病因。

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本文引用的文献

1
Surgical management of bladder transitional cell carcinoma in a vesicular diverticulum: case report.膀胱憩室内膀胱移行细胞癌的外科治疗:病例报告
Can Urol Assoc J. 2011 Aug;5(4):E60-4. doi: 10.5489/cuaj.10094.
2
Clinical implications of genitourinary embryology.泌尿生殖系统胚胎学的临床意义。
Curr Opin Urol. 2009 Jul;19(4):427-33. doi: 10.1097/MOU.0b013e32832c90ff.
3
Histopathologic features and clinical outcomes in 71 cases of bladder diverticula.71例膀胱憩室的组织病理学特征及临床结果
Arch Pathol Lab Med. 2009 May;133(5):791-6. doi: 10.5858/133.5.791.
4
Angiomyolipoma of the left ureterovesical junction.左输尿管膀胱连接处血管平滑肌脂肪瘤
Rev Urol. 2007 Spring;9(2):84-8.
5
Best cases from the AFIP: intradiverticular bladder carcinoma.武装部队病理研究所最佳病例:憩室内膀胱癌。
Radiographics. 2005 Sep-Oct;25(5):1397-403. doi: 10.1148/rg.255045205.
6
Carcinosarcoma of the bladder diverticulum and a review of the literature.膀胱憩室癌肉瘤及文献综述
Int J Urol. 2004 Dec;11(12):1136-8. doi: 10.1111/j.1442-2042.2004.00956.x.
7
Interim results from a national multicenter phase II trial of combination bacillus Calmette-Guerin plus interferon alfa-2b for superficial bladder cancer.卡介苗联合α-2b干扰素治疗浅表性膀胱癌的全国多中心II期试验中期结果。
J Urol. 2004 Sep;172(3):888-93. doi: 10.1097/01.ju.0000136446.37840.0a.
8
Carcinoma in a bladder diverticulum: presentation and treatment outcome.膀胱憩室内癌:临床表现与治疗结果
J Urol. 2003 Nov;170(5):1761-4. doi: 10.1097/01.ju.0000091800.15071.52.
9
Clear cell adenocarcinoma of the urinary bladder within a diverticulum.膀胱憩室内的透明细胞腺癌。
Urology. 2003 Jul;62(1):145. doi: 10.1016/s0090-4295(03)00242-5.
10
Angiomyolipoma of the bladder.
Ann Diagn Pathol. 2002 Dec;6(6):378-80. doi: 10.1053/adpa.2002.36655.