A case report of primary bladder leiomyosarcoma
10.3760/cma.j.cn112330-20200307-00165
- VernacularTitle:膀胱平滑肌肉瘤一例报告
- Author:
Yanrong ZHANG
1
;
Yi LU
;
Qiande QIU
Author Information
1. 浙江省乐清市人民医院放射科，乐清 325600
- Keywords:
Urinary bladder neoplasms;
Leimyosarcoma;
Tomography, X-ray computed
- From:
Chinese Journal of Urology
2021;42(12):946-947
- CountryChina
- Language:Chinese
-
Abstract:
The patient, a 61-year-old female, was admitted to the hospital for 15 days of frequent urination, urgency, painful urination and hematuria. B-ultrasound showed irregular hypoechoic masses on the anterior wall of the bladder. CT showed that the right anterior wall of the bladder protruded into the cavity of the soft tissue mass, which was lobulated, and the edge of the mass showed arc-shaped calcification; enhancement shows that the mass continues to enhance. Cystoscopy showed a lobulated soft tissue mass protruding into the cavity on the right anterior wall of the bladder, and cystoscopy showed tumor-like lesions. The preoperative clinical and imaging diagnosis was a malignant tumor of the bladder. Open partial resection of the right anterior wall of the bladder under general anesthesia, and pathological diagnosis of bladder leiomyosarcoma after surgery. Adjuvant chemotherapy (gemcitabine 1.6 g + epirubicin 80 mg + cisplatin 30 mg) was started 2 months after the operation. The chemotherapy was discontinued after a year, and the patient had no obvious adverse reactions. There were no signs of recurrence and metastasis after a 2-year follow-up.
