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一名左肾细胞癌患者并发膀胱炎性肌纤维母细胞瘤:病例报告

Inflammatory myofibroblastic tumor of the urinary bladder in a patient with the left renal cell carcinoma: A case report.

作者信息

Wu Shuiqing, Chen LE, Wan Qi, Zhang Lei, Zhao Xiaokun, Tang Xiuying

机构信息

Department of Urology, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, P.R. China.

Department of Urology, Yueyang People's Hospital Affiliated to Central South University, Yueyang, Hunan 414000, P.R. China.

出版信息

Exp Ther Med. 2014 Apr;7(4):1010-1012. doi: 10.3892/etm.2014.1525. Epub 2014 Feb 7.

Abstract

This case report describes an inflammatory tumor of the urinary bladder along with left renal cell carcinoma which occurred in a 73-year-old male with a narrowed orificium urethrae internum and severe hyperplasia of the prostate gland. A biopsy was not obtained prior to surgery. An inflammatory myofibroblastic tumor (IMT) of the urinary bladder is a rare benign lesion, particularly in the elderly. To the best of our knowledge, there are no studies concerning IMTs of the urinary bladder in patients with unilateral renal cell carcinoma. A bladder lesion due to an IMT may be easily misdiagnosed as metastasis from left renal cell carcinoma due to the hypervascularity of the tumor. In this case, radical surgery of the cancer of the left kidney was performed by laparoscopy. Subsequently, after three weeks and according to the examination of the intraoperative frozen-sections, a partial cystectomy was performed. Thus, radical resection of the bladder and the associated complications were avoided.

摘要

本病例报告描述了一名73岁男性患者,其患有尿道内口狭窄和前列腺严重增生,同时出现了膀胱炎性肿瘤及左肾细胞癌。术前未进行活检。膀胱炎性肌纤维母细胞瘤(IMT)是一种罕见的良性病变,在老年人中尤为少见。据我们所知,尚无关于单侧肾细胞癌患者膀胱IMT的研究。由于肿瘤血管丰富,IMT导致的膀胱病变可能容易被误诊为左肾细胞癌转移。在本病例中,通过腹腔镜对左肾癌进行了根治性手术。随后,三周后根据术中冰冻切片检查结果,进行了部分膀胱切除术。从而避免了膀胱的根治性切除及相关并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/256c/3965131/8665623a3d08/ETM-07-04-1010-g00.jpg

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