van Jaarsveld Návan, Aldera Alessandro Pietro, John Jeff
Division of Urology, Department of Surgery Frere Hospital and Walter Sisulu University East London South Africa.
JWD Pathology Inc Cape Town South Africa.
IJU Case Rep. 2024 Nov 19;8(1):11-14. doi: 10.1002/iju5.12789. eCollection 2025 Jan.
Solitary fibrous bladder tumors are extremely uncommon, with only a few cases reported. These fibroblastic mesenchymal neoplasms are typically benign, indolent, and slow growing.
A 44-year-old male patient with obstructive uropathy was referred to our unit for workup. Ultrasonography and MRI of the pelvis showed a large, well-circumscribed bladder mass, also visualized cystoscopically. This mass was excised en bloc using the Pfannenstiel approach. Histopathological and immunohistochemical analyses revealed a solitary fibrous tumor.
The management of SFTs can be challenging due to the lack of established guidelines. Hence, we offered our patient long-term follow-up. Twelve months postoperatively, no recurrence or metastases were found on the follow-up imaging.
孤立性纤维性膀胱肿瘤极为罕见，仅有少数病例报道。这些成纤维细胞性间叶肿瘤通常为良性，生长缓慢且惰性。
一名患有梗阻性尿路病的44岁男性患者被转诊至我科进行检查。骨盆的超声和磁共振成像显示一个大的、边界清晰的膀胱肿块，膀胱镜检查也可见到。采用Pfannenstiel入路将该肿块整块切除。组织病理学和免疫组织化学分析显示为孤立性纤维瘤。
由于缺乏既定的指南，孤立性纤维瘤的治疗可能具有挑战性。因此，我们对患者进行了长期随访。术后12个月，随访影像学检查未发现复发或转移。
