Antar Ali, Boyle Alexander, Lockhart Jorge L, Patel Trushar
Department of Urology, University of South Florida, Tampa, FL, USA.
Urol Case Rep. 2017 Mar 25;12:56-58. doi: 10.1016/j.eucr.2017.02.009. eCollection 2017 May.
This case is of a 26 year old female evaluated for gross hematuria and suprapubic pain found to have a large bladder tumor. She subsequently underwent successful robotic assisted laparoscopic partial cystectomy. Pathology revealed pseudosarcomatous fibromyxoid tumor, an uncommon lesion that occurs most frequently among young females and must be distinguished from other malignant lesions, as treatment may differ. Partial cystectomy via robotic approach has never been described in the literature as a treatment option for this type of bladder lesion. In this case, the patient did exceptionally well upon follow-up. As such, robotic assisted laparoscopic partial cystectomy is presented a viable option for treatment of select patients with pseudosarcomatous fibromyxoid tumor.
该病例为一名26岁女性,因肉眼血尿和耻骨上疼痛接受评估,发现患有一个大的膀胱肿瘤。她随后成功接受了机器人辅助腹腔镜部分膀胱切除术。病理显示为假肉瘤性纤维黏液样肿瘤,这是一种罕见病变,最常发生于年轻女性,必须与其他恶性病变相鉴别,因为治疗方法可能不同。文献中从未描述过通过机器人手术进行部分膀胱切除术作为这种类型膀胱病变的治疗选择。在本病例中,患者随访情况非常良好。因此,机器人辅助腹腔镜部分膀胱切除术是治疗部分假肉瘤性纤维黏液样肿瘤患者的一种可行选择。