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Leiomyoma of the urinary bladder.
1Department of Surgery, University of Turku, Turku, Finland. matti.laato@tyks.fi
Annales Chirurgiae Et Gynaecologiae. Supplementum
|May 23, 2002
Summary
A rare benign bladder leiomyoma, a type of smooth muscle tumor, was diagnosed in a 42-year-old man presenting with impotence. Surgical resection and histological analysis confirmed the diagnosis of this uncommon pelvic tumor.
Area of Science:
- Urology
- Oncology
- Pathology
Background:
- Bladder leiomyomas are rare benign tumors originating from the smooth muscle layer of the bladder wall.
- They can present with various symptoms, including urinary issues or, as in this case, unrelated symptoms like impotence due to mass effect.
Observation:
- A 42-year-old male presented with impotence, and physical examination revealed a palpable pelvic mass.
- Imaging studies including transurethral ultrasonography, computed tomography (CT), and magnetic resonance imaging (MRI) demonstrated a large cystic tumor measuring 10 x 8 cm.
Findings:
- Pre-operative suspicion of leiomyoma was high based on imaging characteristics.
- The tumor was successfully removed via open bladder resection.
- Histopathological examination and immunohistochemistry confirmed the diagnosis of benign bladder leiomyoma.
Implications:
- This case highlights the importance of considering rare bladder tumors in the differential diagnosis of pelvic masses, even with atypical presentations.
- Successful surgical management of bladder leiomyoma can lead to symptom resolution.
- Further research into the etiology and optimal management of bladder leiomyomas may be warranted.