CASE 152: PLEXIFORM NEUROFIBROMA of URINARY BLADDER on Von RECKLINGHAUSEN PATIENT, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

Woman 30 yo, hematuria and anemia with many cafe-au-lait skin spots.

Ultrasound of abdomen detected normal kidneys; at pelvis, there was a big mass with size of 25 cm from pubis to umbilicus.
 

Fig. 01 : Cross- sectional scanning of ultrasound.
 

 

This mass was made by many small hypoechoic nodules, hypovascular and no detection of urinary bladder. The mass deplaced uterus to right side.

(Fig.02 : longitudinal US scan, Fig.03: uterus at right side).
 

 

Along sciatic nerve route, scanning of the right thigh disclosed many hypoechoic nodules non compressible (Fig.04).

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MSCT Urology with CE, this mass was urinary bladder with urine contrast inside (Fig. 05-06).
 

Cystoscopy detected inflammation and bleeding site, then performing of biopsy of bladder wall and the tumor of the right thigh.

Microscopic biopsy report from intra-urinary bladder is granuloma inflammation,

and from tumor along the sciatic nerve is neurofibroma (image microscopic).

 

 

Reference from AFIP, plexiform urinary bladder of NF1.