摘要：目的：探讨膀胱炎性肌纤维母细胞瘤的诊断治疗，提高诊疗水平。 方法： 膀胱炎性肌纤维母细胞瘤患者3例，均为女性，平均年龄46(28-62)岁，临床表现为血尿、尿痛，B超及CT表现为不规则类圆形软组织低密度影，膀胱镜提示膀胱内肿块，表面光滑，其中一例病理活检提示膀胱尿路上皮癌。 结果：术后病理：膀胱炎性肌纤维母细胞瘤，3例均行膀胱部分切除术，随访至今3例存活，无复发。 结论：膀胱炎性肌纤维母细胞瘤临床表现无特异性，确诊依据病理学检查，治疗上行膀胱部分切除术。

 关键词：炎性肌纤维母细胞瘤；膀胱；诊断； 治疗

 Abstract： Objective To review diagnosis and theatment of the inflammatory myofibroblastic tumor (IMT) of the urinary bladder. Methods The clinicaldata of 3 patients with IMT of the bladder were reviewed. There were 3 females aged 28 to 62 years (mean 46). Lesions were 4.5cm to 5.5 cm. The majority of the patients presented with hematuria and odynuria. Results All bladder IMTs were managed by partial cystectomy. The pathological diagnosis were IMT of the bladder. The patient remained asymptomatic without evidence of recurrence. Conclusions The IMT of the bladder has no specificity. The diagnosis mainly depends on pathological diagnosis. Partial cystectomy could be the treatment choice.

 Key words：inflammatory myofibroblastic tumor； bladder； Diagnosis； Therapy.

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