Libby Emma K, Ellis Lindsey T, Weinstein Stephen, Hammer Richard D, Murray Katie S
University of Missouri School of Medicine, 1 Hospital Drive, Columbia, MO, 65212, USA.
Department of Pathology & Anatomical Sciences, M263 Medical Science Building, 1 Hospital Drive, Columbia, MO, 65212, USA.
Urol Case Rep. 2018 Nov 15;23:10-12. doi: 10.1016/j.eucr.2018.11.007. eCollection 2019 Mar.
A 61-year-old male presented with gross hematuria and transurethral resection of bladder tumor revealed inflammatory myofibroblastic tumor (IMT). Due to extent of disease leading to ureteral obstruction and hydronephrosis, radical cystectomy (RC) with ileal conduit urinary diversion was performed. Five months after RC, the patient presented with decreased urine output. Exploratory laparotomy revealed mass in right colon and right hemicolectomy revealed metastatic IMT to the bowel and pericolonic fat. To our knowledge, this is the first report of primary IMT of the bladder metastasizing to other organs.
一名61岁男性因肉眼血尿就诊，经尿道膀胱肿瘤切除术显示为炎性肌纤维母细胞瘤（IMT）。由于疾病范围导致输尿管梗阻和肾积水，遂行根治性膀胱切除术（RC）并采用回肠代膀胱术进行尿液改道。RC术后五个月，患者出现尿量减少。剖腹探查发现右结肠有肿块，右半结肠切除术显示IMT已转移至肠道和结肠周围脂肪。据我们所知，这是首例膀胱原发性IMT转移至其他器官的报告。
