Iuchi H, Kaneko S, Tokunaka S, Yachiku S, Fujisawa M, Muraoka S, Takahashi T
Department of Urology, Asahikawa Medical College.
Nihon Hinyokika Gakkai Zasshi. 1993 Feb;84(2):386-9. doi: 10.5980/jpnjurol1989.84.386.
We report a case of pelvic fibromatosis, which has been rarely found. A 36-year-old man referred to our hospital complaining of right abdominal pain and a swelling mass. Abdominal CT and transabdominal echogram revealed a tumor contacted to the bladder. A nonpapillary tumor (little finger sized) at the bladder dome was observed by cystoscopy, and the tumor was clinically considered as urachal tumor. Wide radical excision including the bladder and prostate was performed. Pathological diagnosis was pelvic fibromatosis arising from musculoaponeurotic structures in the pelvis: The fibromatosis is benign nonmetastatic tumor but the recurrence rate is considerably high. However, in the present case, 14 months after operation there is no recurrence yet.
我们报告一例罕见的盆腔纤维瘤病。一名36岁男性因右腹痛和肿块前来我院就诊。腹部CT和经腹超声检查显示有一个与膀胱相连的肿瘤。膀胱镜检查发现膀胱顶部有一个非乳头状肿瘤（小指大小），临床上认为该肿瘤为脐尿管肿瘤。遂行包括膀胱和前列腺的广泛根治性切除术。病理诊断为起源于骨盆肌筋膜结构的盆腔纤维瘤病：该纤维瘤病是良性非转移性肿瘤，但复发率相当高。然而，在本例中，术后14个月尚无复发。
