Matsui Yuki
Department of Urology, Showa University Fujigaoka Hospital, 1-30, Fujigaoka, Aoba-ku, Yokohama-shi, Kanagawa, 227-0043, Japan.
Urol Case Rep. 2021 Jun 4;38:101740. doi: 10.1016/j.eucr.2021.101740. eCollection 2021 Sep.
A 55-year-old man was admitted for ongoing gross hematuria and bladder tamponade. Computed tomography revealed a mass near the right sidewall of the bladder, along with massive blood clots. The patient was diagnosed as having bladder cancer based on laboratory findings and emergency clinical symptoms. Thus, emergency transurethral resection of the bladder tumor was performed. Pathological examination revealed an inflammatory myofibroblastic tumor (IMT). No tumor progression was observed during the 6-month follow-up period. Owing to its rarity, IMT has not been well characterized clinically and radiologically, and thus, it is very difficult to diagnose IMT accurately without pathological examinations.
一名55岁男性因持续性肉眼血尿和膀胱填塞入院。计算机断层扫描显示膀胱右侧壁附近有一个肿块,伴有大量血凝块。根据实验室检查结果和紧急临床症状,该患者被诊断为膀胱癌。因此,进行了紧急经尿道膀胱肿瘤切除术。病理检查显示为炎性肌成纤维细胞瘤(IMT)。在6个月的随访期内未观察到肿瘤进展。由于其罕见性,IMT在临床和放射学上尚未得到很好的表征,因此,在没有病理检查的情况下很难准确诊断IMT。