膀胱平滑肌肉瘤：原发性手术治疗

Urinary Bladder Leiomyosarcoma: Primary Surgical Treatment.

作者信息

Slaoui Hakim, Sanchez-Salas Rafael, Validire Pierre, Barret Eric, Rozet François, Galiano Marc, Cathelineau Xavier

机构信息

Department of Urology, Institut Mutualiste Montsouris, 42 boulevard Jourdan 75014 Paris, France.

出版信息

Urol Case Rep. 2014 Jul 2;2(4):137-8. doi: 10.1016/j.eucr.2014.05.002. eCollection 2014 Jul.

DOI:10.1016/j.eucr.2014.05.002

PMID:26839792

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4735486/

Abstract

Cases of bladder leiomyosarcoma represent 0.1% of all nonurothelial tumors. We present a case report of a 73-year-old man who underwent a radical cystoprostatectomy for a high-grade bladder leiomyosarcoma with an ileal diversion. The patient recovered uneventfully and no surgical margins were verified in final pathology. Early follow-up at 3 months shows no signs of computed tomography recurrence and adequate adaptation to ileal diversion. Although bladder sarcomas were once thought to have a grim prognosis, recent studies suggest that adequate surgical treatment is able to achieve optimal cancer control outcomes.

摘要

膀胱平滑肌肉瘤病例占所有非尿路上皮肿瘤的0.1%。我们报告一例73岁男性患者，因高级别膀胱平滑肌肉瘤接受根治性膀胱前列腺切除术并进行回肠改道术。患者恢复顺利，最终病理检查未发现手术切缘阳性。术后3个月的早期随访显示，计算机断层扫描未发现复发迹象，且患者对回肠改道术适应良好。尽管膀胱肉瘤曾被认为预后不佳，但最近的研究表明，充分的手术治疗能够实现最佳的癌症控制效果。