膀胱软骨瘤:极为罕见的发现

Case Reports in Urology Pub Date : 2024-06-06 eCollection Date: 2024-01-01 DOI:10.1155/2024/4120514
Joao G Porto, Ruben Blachman-Braun, Archan Khandekar, Oleksandr N Kryvenko, Dipen J Parekh
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引用次数: 0

摘要

软骨瘤通常发生在骨骼中,在软组织中发现的文献有限。迄今为止,仅有 8 例膀胱软骨瘤的报道,且均为女性。在此,我们描述了一名 54 岁女性的病例,她的膀胱前壁长了一个软骨瘤。在进行造影剂增强计算机断层扫描(CT)时,意外发现右侧膀胱壁上有一个 5 毫米的增强病灶。随后的膀胱镜检查未发现任何异常,尿液分析和尿液细胞学检查也无异常。然而,CT 尿路造影再次证实了恶性肿瘤的怀疑,膀胱镜检查也验证了这一点。患者接受了经尿道膀胱肿瘤切除术,该肿瘤被确认为膀胱软骨瘤。在手术切口中,发现了粘膜下病变,组织病理学评估进一步证实了这一点。经过一年的影像学和尿液细胞学随访,未发现复发。该病例证实了之前的研究结果,并强调该病好发于五至七十岁的女性,预后良好。
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Chondroma in the Urinary Bladder: An Extremely Rare Finding.

Chondroma, commonly observed in the bones, has limited documentation when found in soft tissues. To date, only 8 chondromas in the urinary bladder have been reported, all in females. Here, we describe a 54-year-old female who presented with a chondroma located at the anterior wall of the urinary bladder. An incidental 5 mm enhanced focus was identified on the right bladder wall during a contrast-enhanced computerized tomography (CT). Subsequent cystoscopy did not reveal any abnormalities, and both urinalysis and urine cytology were unremarkable. However, a CT urogram reconfirmed suspicions of malignancy, which a cystoscopy validated. The patient underwent a transurethral resection of the bladder tumor, which was identified as a bladder chondroma. During the surgical incision, a submucosal lesion was found, which was further confirmed with histopathological evaluation. Over a year-long follow-up using imaging and urine cytology, no recurrence was observed. This case reinforces earlier findings and underscores the predilection for females between their 5th and 7th decades with a positive prognosis.

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发文量
28
审稿时长
13 weeks
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