Conservative Treatment of Huge Bladder Neurofibroma

M. A. E. Jaharudin, Omar Fahmy Ahmed Fahmy, Christopher Lee Kheng Siang, K. A. Mohd Ghani, Lai Shau Kong
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Abstract

Neurofibroma with involvement of the urinary bladder is a rare condition, that has been reported in less than 80 cases reported worldwide. We present a 22-year-old lady with a known history of childhood neurofibroma type 1. Incidental findings of a huge pelvic mass during laparoscopic surgery for initially thought of a gynae pathology. Further investigation after that with Computed Tomography (CT) scandisplayed a bladder mass occupying the abdomen cavity with regards to neurofibroma of the bladder. A core Biopsy of the mass was done and confirmed the pathology. Clinically patient was asymptomatic with the mass. The patient refused surgical intervention. Follow-up for 2 years with serial imaging showed no significant progression of the disease. It is important to determine any Sarcomatoid/malignant changes to decide on further management of bladder neurofibroma.
巨大膀胱神经纤维瘤的保守治疗
神经纤维瘤累及膀胱是一种罕见的疾病,全世界报道的病例不到80例。我们报告一位22岁的女性,她有儿童1型神经纤维瘤的病史。腹腔镜手术中偶然发现巨大的盆腔肿块,最初认为是妇科病理。进一步的计算机断层扫描(CT)显示膀胱神经纤维瘤的膀胱肿块占据腹腔。对肿块进行了核心活检并证实了病理。临床表现为无症状。病人拒绝手术治疗。随访2年,影像学检查未见明显进展。确定任何肉瘤样/恶性变化对于决定膀胱神经纤维瘤的进一步治疗是很重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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