膀胱炎性肌纤维母细胞瘤2例报道并文献复习

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ABSTRACT：ObjectiveTo summarize and evaluate the treatment strategies and clinical outcomes of bladder inflammatory myofibroblastic tumor（IMT），soas to provide reference for the diagnosis and treatment of this rare entity.MethodsA retrospectiveanalysis wasconductedontheclinical dataof twopatientswith bladder IMT treatedat Shandong Provincial HospitalAfiliatedtoShandongFirstMedicalUniversityIncombinationwithliteratureanalysis，theclinicalcharacteristics， treatment methodsand prognosis of this disease were analyzed.ResultsBoth patients presented with painlessterminal macroscopic hematuria. Patient l was a 42-year-old male with a 6cm bladder mass detected by cystoscopy，with no muscular involvement. Transurethral en bloc resection with a 1470nm diode laser was performed，followed by a second transurethral resection.Patient 2 was a 2l-year-old male with a 5cm bladder mass visualized on cystoscopy，with no muscular invasion. Transurethral en bloc resection using a 1470nm diode laser was conducted，followed by transurethral laser marking the margin of the woundandlaparoscopicpartialcystectomy.Preoperativecystoscopic biopsyand postoperativepathologydiagnosed itas IMT，which invaded the superficial muscular layerand themargin was negative.Patient1was folowed for 4O months and patient 2for15 months.Follw-upcystoscopyperformed every3 monthsshowed no evidenceof recurrence.This article also summarized therelevantliterature on bladder IMTover the past five years.ConclusionBlader IMTis an extremelyrare neoplasm with nonspecificclinical manifestations，posing challenges inboth diagnosisand treatment.However，early recognitionanddfinitive pathological diagnosis，combined with bladder-sparing surgical strategies suchas en blocresection， often result in favorable outcomes，with reduced risk of recurrence and improved quality of life.

KEY WORDS： bladder tumor；inflammatory myofibroblastic tumor；transurethral en bloc resection of bladder tumor; laparoscopic partial cystectomy

摘要：目的总结并探讨膀胱炎性肌纤维母细胞瘤的治疗策略及其临床效果，为提高该病的规范化诊治水平提供参考。（剩余11892字）