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酷似尿路上皮癌的盆腔输尿管血管平滑肌瘤:一例报告

Pelvic ureteral angiomyoma mimicking urothelial carcinoma: A case report.

作者信息

Chaker Kays, Marrak Mahdi, Ouanes Yassine, Zehani Alia, Trigui Mohamed, Nouira Yassine

机构信息

Department of Urology, LA RABTA Hospital, University of TUNIS EL MANAR, Tunis, Tunisia.

Department of Urology, LA RABTA Hospital, University of TUNIS EL MANAR, Tunis, Tunisia.

出版信息

Int J Surg Case Rep. 2023 Jul;108:108360. doi: 10.1016/j.ijscr.2023.108360. Epub 2023 Jun 1.

DOI:10.1016/j.ijscr.2023.108360
PMID:37320976
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10382737/
Abstract

BACKGROUND

Angiomyoma is a rare benign tumor that can occur in any organ with smooth muscles. No one has already described an angiomyoma of the ureter.

CASE PRESENTATION

We report the case of a 44 year old woman who presented with intermittent hematuria and left flank pain. The diagnosis of left ureteral tumor was evoked by the scannographic aspect. She underwent a radical nephro-ureterectomy. Final histological examination concluded to ureteral angiomyoma.

DISCUSSION

Angiomyoma is rare benign smooth muscle tumor with a vascular component. Symptomatology depends on the organ that angiomyoma is developed from, and is usually mimicking malignant tumors.

CONCLUSION

Symptomatology, radiologic findings are mimicking urothelial carcinomas, however the pathology corrected the diagnostic error.

摘要

背景

血管平滑肌瘤是一种罕见的良性肿瘤,可发生于任何有平滑肌的器官。此前尚无输尿管血管平滑肌瘤的相关报道。

病例报告

我们报告一例44岁女性,表现为间歇性血尿和左侧腰痛。扫描图像表现提示左侧输尿管肿瘤。她接受了根治性肾输尿管切除术。最终组织学检查确诊为输尿管血管平滑肌瘤。

讨论

血管平滑肌瘤是一种罕见的含有血管成分的良性平滑肌肿瘤。症状取决于血管平滑肌瘤所起源的器官,通常类似恶性肿瘤。

结论

症状和影像学表现类似尿路上皮癌,但病理检查纠正了诊断错误。

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本文引用的文献

1
Leiomyoma Urinary Bladder, Mimicking Urothelial Cancer.膀胱平滑肌瘤,酷似尿路上皮癌。
J Ayub Med Coll Abbottabad. 2021 Oct-Dec;33(4):685-689.
2
The SCARE 2020 Guideline: Updating Consensus Surgical CAse REport (SCARE) Guidelines.SCARE 2020 指南:更新共识手术病例报告(SCARE)指南。
Int J Surg. 2020 Dec;84:226-230. doi: 10.1016/j.ijsu.2020.10.034. Epub 2020 Nov 9.
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ANGIOMYOMA OF THE UPPER LIP - CASE REPORT AND REVIEW OF THE LITERATURE.上唇血管肌瘤——病例报告及文献综述
Acta Clin Croat. 2019 Mar;58(1):183-186. doi: 10.20471/acc.2019.58.01.24.
4
Endovesical leiomyoma of bladder treated by enucleation: A case report.经摘除术治疗的膀胱内平滑肌瘤:病例报告
Urol Case Rep. 2017 Oct 31;16:48-50. doi: 10.1016/j.eucr.2017.10.009. eCollection 2018 Jan.
5
Bladder leiomyoma: case report.膀胱平滑肌瘤:病例报告。
Arch Esp Urol. 2008 Jan-Feb;61(1):87-91. doi: 10.4321/s0004-06142008000100017.