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1例罕见的膀胱平滑肌瘤侵犯脐尿管残余组织行机器人辅助部分膀胱切除术的病例

A Rare Case of Urinary Bladder Leiomyoma Invading Urachal Remnant Managed With Robotic Partial Cystectomy.

作者信息

Elsheikh Mohammed, Oxley Jon, Qureshi Farukh, Thornton Mark

机构信息

Urology, Royal Bournemouth Hospital, University Hospital Dorset, Bournemouth, GBR.

Pathology, Southmead Hospital, North Bristol National Health Service (NHS) Trust, Bristol, GBR.

出版信息

Cureus. 2024 Jul 10;16(7):e64222. doi: 10.7759/cureus.64222. eCollection 2024 Jul.

DOI:10.7759/cureus.64222
PMID:39131002
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11310898/
Abstract

Leiomyoma is a rare benign tumour of the urinary bladder. Typically, bladder leiomyomas are treated with transurethral resection, which yields favourable results. We present a clinical case of a 29-year-old man with a symptomatic bladder tumour, initially diagnosed on flexible cystoscopy and CT scan. Subsequent transurethral resection and MRI scan confirmed a transmural bladder leiomyoma invading the urachal remnant. The patient was subsequently treated with robotic partial cystectomy. The presentation and management, including imaging and histopathology results, are discussed with a brief review of the literature.

摘要

平滑肌瘤是一种罕见的膀胱良性肿瘤。通常，膀胱平滑肌瘤采用经尿道切除术治疗，效果良好。我们报告一例29岁男性有症状性膀胱肿瘤的临床病例，最初通过软性膀胱镜检查和CT扫描确诊。随后的经尿道切除术和MRI扫描证实为穿透膀胱壁的平滑肌瘤侵犯脐尿管残余。该患者随后接受了机器人辅助部分膀胱切除术。本文讨论了该病例的临床表现及治疗情况，包括影像学和组织病理学结果，并对相关文献进行了简要回顾。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b621/11310898/5192ab399276/cureus-0016-00000064222-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b621/11310898/6ed5b426debb/cureus-0016-00000064222-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b621/11310898/7aea87498645/cureus-0016-00000064222-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b621/11310898/fe3792b28dff/cureus-0016-00000064222-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b621/11310898/e8b4edcee964/cureus-0016-00000064222-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b621/11310898/5192ab399276/cureus-0016-00000064222-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b621/11310898/6ed5b426debb/cureus-0016-00000064222-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b621/11310898/7aea87498645/cureus-0016-00000064222-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b621/11310898/fe3792b28dff/cureus-0016-00000064222-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b621/11310898/e8b4edcee964/cureus-0016-00000064222-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b621/11310898/5192ab399276/cureus-0016-00000064222-i05.jpg

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A Rare Case of Urinary Bladder Leiomyoma Invading Urachal Remnant Managed With Robotic Partial Cystectomy.1例罕见的膀胱平滑肌瘤侵犯脐尿管残余组织行机器人辅助部分膀胱切除术的病例
Cureus. 2024 Jul 10;16(7):e64222. doi: 10.7759/cureus.64222. eCollection 2024 Jul.
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引用本文的文献

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J Clin Med. 2025 Feb 14;14(4):1273. doi: 10.3390/jcm14041273.

本文引用的文献

1
Transvaginal Resection of a Bladder Leiomyoma Misdiagnosed with a Vaginal Mass: A Case Report and Literature Review.经阴道切除误诊为阴道肿物的膀胱平滑肌瘤：一例报告及文献复习
Case Rep Obstet Gynecol. 2015;2015:981843. doi: 10.1155/2015/981843. Epub 2015 Nov 26.
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Bladder leiomyoma: Presentation, evaluation and treatment.膀胱平滑肌瘤：临床表现、评估与治疗
Arab J Urol. 2013 Mar;11(1):54-61. doi: 10.1016/j.aju.2012.11.007. Epub 2012 Dec 25.
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Robotic extramucosal excision of bladder wall leiomyoma.机器人辅助经黏膜下膀胱壁平滑肌瘤切除术。
Int Braz J Urol. 2014 Jan-Feb;40(1):127-8; discussion 128. doi: 10.1590/S1677-5538.IBJU.2014.01.20.
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Transvesical enucleation of multiple leiomyoma of bladder and urethra.经膀胱剜除膀胱及尿道多发平滑肌瘤
Nephrourol Mon. 2013 Winter;5(1):709-11. doi: 10.5812/numonthly.5122. Epub 2012 Dec 15.
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Laparoscopic enucleation of leiomyoma of the urinary bladder: a case report and review of the literature.腹腔镜下膀胱平滑肌瘤摘除术：一例病例报告及文献复习
Urol J. 2011 Spring;8(2):155-8.
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Leiomyoma of the urinary bladder presenting as urinary retention in the female.以女性尿潴留为表现的膀胱平滑肌瘤。
Can J Urol. 2009 Aug;16(4):4762-4.
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Leiomyoma of bladder.膀胱平滑肌瘤
Saudi J Kidney Dis Transpl. 2008 Mar;19(2):232-5.
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Dyspareunia: an unusual presentation of leiomyoma of the bladder.性交困难：膀胱平滑肌瘤的一种罕见表现。
Rev Urol. 2001 Summer;3(3):152-4.
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Leiomyoma of bladder: report of case and review of literature.膀胱平滑肌瘤：病例报告及文献复习
Urology. 1994 Feb;43(2):238-41. doi: 10.1016/0090-4295(94)90053-1.
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Leiomyoma of the bladder.膀胱平滑肌瘤
Urol Radiol. 1986;8(2):114-7. doi: 10.1007/BF02924092.