Mbethe Dimitri, Moudouni Said, Dahami Zacharia, Lakmichi Mohamed Amine, Sarf Ismael
Service d'Urologie du Centre Hospitalo-Universitaire Mohammed VI de Marrakech, Maroc.
Pan Afr Med J. 2017 Jan 18;26:26. doi: 10.11604/pamj.2017.26.26.11189. eCollection 2017.
Our study aims to report a new case of leiomyosarcoma of the urinary bladder, a rare tumor, and to propose a new therapeutic approach, given the non-consensual nature of its treatment. A 31-year old patient, with no particular previous history, presented with total haematuria with clot formation. The clinical and paraclinical assessment showed a voluminous solid tumor mass occupying the apex of urinary bladder and extending to the right lateral wall, with infiltrating appearance, without lymph node involvement or invasion of local or distal organs. Surgical management was based on total laparoscopic cystectomy and bladder replacement by enterocystoplasty. The postoperative course was uneventful. Radiological examinations at 3, 6, 12 and 24 months showed no recurrence. Thus, adaptive surgery should be proposed on a case-by-case basis, to improve the quality of life of patients suffering from this condition.
我们的研究旨在报告一例罕见的膀胱平滑肌肉瘤新病例，并鉴于其治疗尚无共识的性质，提出一种新的治疗方法。一名31岁、既往无特殊病史的患者出现伴有血凝块形成的全程血尿。临床和辅助检查显示，一个巨大的实性肿瘤肿块占据膀胱顶部并延伸至右侧壁，呈浸润性表现，无淋巴结受累，也未侵犯局部或远处器官。手术治疗基于全腹腔镜膀胱切除术和肠膀胱扩大术进行膀胱替代。术后过程顺利。3个月、6个月、12个月和24个月的影像学检查均未显示复发。因此，应根据具体情况提出适应性手术，以提高患有这种疾病的患者的生活质量。
