Abstract:Objective:To report our initial experiences with laparoscopic partial cystectomy (LPC) for inflammatory myofibroblastic tumor (IMT) of bladder. Methods:LPC for bladder IMT was carried out, and the related literatures about the pathological features of bladder IMT were retrospectively reviewed. Results:The most common symptom of IMT is painless gross hematuia. The treatments of IMT usually include TUR, partial cystectomy and radiotherapy. The diagnosis of IMT is identified by pathological examination. Histologically, the IMT cells were spindle in shape, and positive for SMA, Vimentin and ALK. PC was performed on our research case. Conclusions:IMT is a rare neoplasm with malignant potential. Laparoscopic partial cystectomy in carefully selected patients with IMT of bladder is feasible and safe.
[1]Haber GP, Gill IS. Laparoscopic radical cystectomy for cancer: oncological outcomes at up to 5 years. BJU Int, 2007,100(1):137-142. [2]Colombo Jr JR, Desai M, Canes D, et al. Laparoscopic partial cystectomy for urachal and bladder cancer. Clinics (Sao Paulo), 2008,63(6):731-734. [3]Sweeney P, Kursh ED, Resnik MI. Partial cystectomy. Urol Clin North Am, 1992, 19(4):701-711. [4]Ricos TJV, Solsona NE. Surgical treatment of urinary bladder cancer: Indications, technics, and general results. Arch Esp Urol, 1999,52(6):577-585. [5]Chen CK, Jan CI, Tsai JS, et al. Inflammatory myofibroblastic tumor of the lung: a case report. J Cardiothorac Surg, 2010,5:55. [6]Sari A, Tunakan M, nsal B, et al. Inflammatory pseudotumor of the liver diagnosed by needle biopsy: report of three cases (one with neuroendocrine tumor of the rectum and lung). Turk J Gastroenterol, 2010,21(3):308-312. [7]Son SB, Heo YS, Shin WW, et al. A case of cutaneous inflammatory myofibroblastic tumor. Ann Dermatol, 2010,22(1):91-95. [8]Roth JA. Reactive pseudo-sarcomatous response in urinary bladder. Urology, 1980,16(6): 635-637. [9]Wei L, Jianbo L, Qiang W, et al. Inflammatory myofibroblastic tumor of bladder:case report and review of the literature. Can Urol Assoc J, 2013,7(3-4):E237-240. [10]Mariano MB, Tefilli M. Laparoscopic partial cystectomy in bladder cancer-initial experience. Inter Braz J Urol, 2004,30(3):192-198. [11]Wadhwa P, Kolla SB, Hemal AK. Laparoscopic en-bloc partial cystectomy with bilateral pelvic lymphadenectomy for urachal adenocarcinoma. Urology, 2006,67(4):837-843. [12]Ferzli G, Wenof M, Giannakakos A, et al. Laparoscopic partial cystectomy for vesical endometrioma. J Laparoendosc Surg, 1993,3(2):161-165.