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KMID : 0358320120530090657
Korean Journal of Urology
2012 Volume.53 No. 9 p.657 ~ p.661
Malignant Inflammatory Myofibroblastic Tumor of the Bladder with Rapid Progression
Kim Hyeon-Woo

Choi Young-Hun
Kang Sung-Min
Ku Ja-Yoon
Ahn Jae-Hyun
Kim Jung-Man
Chung Jae-Min
Ha Hong-Koo
Chung Moon-Kee
Abstract
A 71-year-old man was referred for painless hematuria and a bladder tumor. Cystoscopy and computed tomography revealed a 3-cm oval nodular mass on the left lateral side of the bladder. The patient underwent a complete transurethral resection of the lesion and histology showed a proliferation of atypical spindle cells with inflammation consistent with a myofibroblastic tumor. After 4 and 7 months, follow-up cystoscopy demonstrated nodular mass lesions and transurethral resection of bladder tumor was done, which showed chronic cystitis and a recurred myofibroblastic tumor, respectively. Five months later, multiple lymph node, bone, and soft tissue metastases were found by positron emission tomography. The patient was treated first with palliative chemotherapy, including doxorubicin and cisplatin. After that, radiologic studies showed disease progression but the patient refused further treatment and died 6 months later.
KEYWORD
Inflammatory myofibroblastic tumor, Neoplasm metastasis, Urinary bladder
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