Inflammatory myofibroblastic tumour (IMT) of the bladder is a rare tumour of indeterminate malignant potential with myofibroblastic differentiation, with a generally benign but rarely aggressive behaviour. Vesical IMT is usually treated by transurethral resection or partial cystectomy. Herein we describe a case of a woman who underwent laparoscopic excision of an IMT of the bladder, initially diagnosed as deep infiltrating endometriosis.

/pdf/laparoscopic-excision-of-an-inflammatory-myofibroblastic-20bmg7id08.pdf

Laparoscopic excision of an inflammatory myofibroblastic tumour of the bladder disguised as deep infiltrating endometriosis.

Purpose: Pseudosarcomatous fibromyxoid tumors of the genitourinary tract are rare tumors that can be a surgical emergency, presenting with relentless gross hematuria. While the majority of cases reported in the literature describe transurethral resection as the initial approach, poor visibility and large tumor burden, particularly in the pediatric population, may obviate successful management. We reviewed the literature and report a case in which the bleeding mass was acutely managed with an open partial cystectomy with no long-term complications, including no tumor recurrence or progression. Case Presentation: A healthy 16 year-old, non-smoking male presented with severe gross hematuria causing hemodynamically instability requiring management with open partial cystectomy. Initial transurethral resection was attempted, however poor visibility and large tumor burden prevented adequate resection. The case was converted to an open approach and a partial

Pseudosarcomatous Myofibroblastic Proliferation, A Rare Bladder Condition Successfully Managed with Partial Cystectomy - A Case Report and Literature Review

A Case Report of Inflammatory Myofibroblastic Tumor of the Gallbladder

A BSTRACT Background: Inflammatory myofibroblastic tumor (IMT) is a rare tumor with intermediate biologic potential, in which lack of understanding often poses difficulties in preoperative diagnosis and management. Case Presentation: We report a case in which a 25-year-old female patient not known to have any medical illness presented with gross hematuria for one month. The patient was investigated with urine analysis, urine culture, urine cytology, and Ct-Urogram at a urology clinic. Her investigation showed a urinary bladder dome enhancing mass 3.6 * 3.8 * 3.3 cm with minimal surrounding perivesical stranding worrisome for early peritoneal carcinomatosis. She underwent cystoscopy and transurethral bladder tumor resection; resection was not complete due to the size of bladder mass. Six units of packed red blood cells were given. Histopathology showed IMT. Case was discussed in the tumor board and the patient underwent laparoscopic urachal resection and partial cystectomy. Discharged on day three post-op with Foley catheter and appointment for cystogram after 2 weeks. Histopathology confirms the diagnosis of IMT with four millimeters of free margin and two benign regional reactive lymph nodes. Patients were followed for two years with no sign of recurrence or any lower urinary tract symptoms. Conclusion: Our report reinforces the standard diagnostic and management approach, supporting consistent findings and successful surgical strategies, to enhance patient care and understanding of this rare neoplasm. 

Inflammatory Myofibroblastic Tumor of the Urinary Bladder of a Young Female: A Case Report on Diagnosis and Management Challenges

Inflammatory myofibroblastic tumor (IMT) is a rare, aggressive tumor of indeterminate malignant potential with myofibroblastic differentiation. Though bladder location is very uncommon, it arises from the bladder submucosal stroma as a polypoidal growth and is easily mistaken for a malignant neoplasm- clinically, radiologically and histologically. Essential criteria for the diagnosis of IMT are: spindle myoepithelial cell proliferation and lymphoplasmacytic infiltrate. Here we report the case of a 30 years old man who presented with painless gross haematuria for 2 weeks. The patient underwent open partial cystectomy and the final pathological diagnosis was IMT of bladder.

Inflammatory myofibroblastic tumor of the urinary bladder: A diagnostic challange and therapeutic dilemma.

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Inflammatory myofibroblastic tumor of the urinary bladder: A diagnostic challange and therapeutic dilemma.