膀胱炎性肌纤维母细胞瘤1例报告并文献复习

A case report of inflammatory myofibroblastic tumor of bladder and literature review

目的探讨膀胱炎性肌纤维母细胞瘤的临床、病理、组织生化特征和诊治方法及预后。方法回顾性分析1例肌纤维母细胞瘤患者的诊治资料,并结合文献进行探讨。结果患者术后恢复良好,7 d拆线,临床症状消失,每3～6个月复查膀胱镜,随访3年,未见病灶复发或扩散,患者无瘤生存。结论膀胱炎性肌纤维母细胞瘤为低度恶性肿瘤,罕见。确诊依据病理学检查,治疗原则以切除肿瘤、保留膀胱功能为主,行膀胱部分切除或经尿道膀胱肿瘤电切术（TURBT术）。

Objective To investigate clinical, pathological, histological and biochemical characteristics of inflammatory myofibbroblastic tumor of bladder, and its diagnosis and treatment methods and prognosis. Methods A retrospective analysis was made on the clinical data of 1 patient with inflammatory myofibroblastic tumor of bladder, and literature was combined for investigation. Results Odynuria and visible hematuresis were the main symptoms of inflammatory myofibroblastic tumor of bladder, and it mainly occurred in bottom, top, and side wall of bladder. Follow- up lasted for 3 years, and it showed the patients in tumor free survival. Conclusion Inflammatory myofibroblastic tumor of bladder is rare low-grade malignant tumor, and its diagnosis is based on pathological examination. Treatment principle mainly includes tumor resection and bladder function reservation as partial resection of bladder or transurethral resection of bladder tumor （TURBT）.