中国全科医学
中國全科醫學
중국전과의학
Chinese General Practice
2015年
28期
3501-3504
,共4页
吴水清%徐冉%朱煊%贺海清%赵划晟%张磊%赵晓昆
吳水清%徐冉%硃煊%賀海清%趙劃晟%張磊%趙曉昆
오수청%서염%주훤%하해청%조화성%장뢰%조효곤
肿瘤, 肌组织%膀胱%炎症%诊断%治疗
腫瘤, 肌組織%膀胱%炎癥%診斷%治療
종류, 기조직%방광%염증%진단%치료
Neoplasms,muscle tissue%Urinary bladder%Inflammation%Diagnosis%Therapy
膀胱炎性肌纤维母细胞瘤是一种少见的交界性膀胱软组织真性肿瘤,临床表现及术前影像学检查常提示膀胱恶性肿瘤,易误诊而导致膀胱全切,常需根据术后病理检查及免疫组织化学检查进行确诊。目前主要治疗方式为膀胱部分切除或经尿道膀胱肿瘤电切术,且术后不需要常规膀胱灌注化疗,大部分预后良好,少数可复发、转移。近年来对膀胱炎性肌纤维母细胞瘤的报道及研究逐渐增多,本文将从膀胱炎性肌纤维母细胞瘤的临床表现、影像学、病理特征以及发病机制及预后等方面进行综述。
膀胱炎性肌纖維母細胞瘤是一種少見的交界性膀胱軟組織真性腫瘤,臨床錶現及術前影像學檢查常提示膀胱噁性腫瘤,易誤診而導緻膀胱全切,常需根據術後病理檢查及免疫組織化學檢查進行確診。目前主要治療方式為膀胱部分切除或經尿道膀胱腫瘤電切術,且術後不需要常規膀胱灌註化療,大部分預後良好,少數可複髮、轉移。近年來對膀胱炎性肌纖維母細胞瘤的報道及研究逐漸增多,本文將從膀胱炎性肌纖維母細胞瘤的臨床錶現、影像學、病理特徵以及髮病機製及預後等方麵進行綜述。
방광염성기섬유모세포류시일충소견적교계성방광연조직진성종류,림상표현급술전영상학검사상제시방광악성종류,역오진이도치방광전절,상수근거술후병리검사급면역조직화학검사진행학진。목전주요치료방식위방광부분절제혹경뇨도방광종류전절술,차술후불수요상규방광관주화료,대부분예후량호,소수가복발、전이。근년래대방광염성기섬유모세포류적보도급연구축점증다,본문장종방광염성기섬유모세포류적림상표현、영상학、병리특정이급발병궤제급예후등방면진행종술。
Inflammatory myofibroblastic tumor of bladder is a rare true soft tissue tumor , which belongs to boundary type.Clinical manifestations and preoperative imaging findings often indicate the malignant tumor of urinary bladder , which even leads to radical cystectomy because of misdiagnosis.Definitive diagnosis often refers to postoperative pathological examination and immunohistochemistry examination.At present, partial cystectomy and transurethral electrocision of bladder tumor are preferred treatment methods.It is mostly believed that routine intravesical chemotherapy is not necessary after these two kinds of surgeries.Most patients undergoing the two kinds of surgeries have favorable prognosis , and a few will have relapse and transfer.The reports about inflammatory myofibroblastic tumor of bladder are increasing in recent years .This paper will review the clinical manifestation, imaging and pathological features , pathogenesis and prognosis about inflammatory myofibroblastic tumor of bladder.