Laparoscopic Partial Cystectomy for Inflammatory Myofibroblastic Tumor of the Urinary Bladder
Hajime Yamasaki1, Shigeaki Nakazawa1, Kentaro Takezawa1
1Department of Urology, Graduate School of Medicine The University of Osaka Suita Osaka Japan.
Introduction:
Inflammatory myofibroblastic tumor (IMT) of the bladder is a rare benign tumor characterized by atypical spindle cell proliferation and inflammatory cell infiltration, typically involving lymphocytes and plasma cells.
Case Presentation:
A 38-year-old woman presented with micturition pain and urinary frequency. Cystoscopy revealed an elevated tumor with edematous mucosa on the anterior bladder wall. Transurethral resection confirmed IMT of the bladder but was incomplete, prompting laparoscopic partial cystectomy with cystoscopy guidance. At 2-year follow-up, the patient remained asymptomatic with no recurrence.
Conclusion:
Complete resection is the standard treatment for bladder IMT. When the tumor extends beyond the bladder wall, laparoscopic partial cystectomy with cystoscopy guidance offers a safe and effective surgical approach for achieving complete resection with adequate margins.
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