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[Bladder leiomyoma].

A Ojea Calvo1, A Núñez López, A Alonso Rodrigo

  • 1Servicio de Urología, Hospital Xeral de Vigo, Pontevedra.

Actas Urologicas Espanolas
|January 24, 2002
PubMed
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Bladder leiomyoma, a rare benign tumor, is the most common mesenchymal tumor of the bladder. This case report highlights its presentation and diagnosis, emphasizing its consideration in surgical treatment planning.

Area of Science:

  • Urology
  • Oncology
  • Pathology

Background:

  • Mesenchymal benign tumors of the urinary bladder are rare, comprising 1%-5% of all bladder tumors.
  • Leiomyoma is the most frequent type, accounting for 46.6% of these rare bladder tumors.
  • Only 25 cases of bladder leiomyoma have been previously documented in national literature.

Observation:

  • A 53-year-old male presented with chronic urinary frequency and microscopic hematuria.
  • Imaging studies including excretory urography, cystoscopy, ultrasound, CT, and MRI revealed a sessile lesion on the right bladder wall.
  • The tumor was covered by normal bladder mucosa and showed specific signal characteristics on MRI.

Findings:

  • Clinical diagnosis suggested a bladder leiomyoma.
  • Partial cystectomy was performed for definitive treatment.

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  • Histopathological examination confirmed the clinical diagnosis of leiomyoma.

    • Implications:

    • Bladder leiomyoma, though rare, must be included in the differential diagnosis for bladder tumors.
    • Accurate preoperative diagnosis is crucial for appropriate surgical management of bladder leiomyoma.
    • This case adds to the limited literature on bladder leiomyoma, aiding future clinical considerations.