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Bladder wall lipoma
Shafquat Meraj1, Gopal Narasimhan, Eric Gerber
1Department of Urology, Beth Israel Medical Center, New York, New York 10003, USA.
Urology
|July 9, 2002
Summary
Bladder wall lipoma, a rare benign fatty tumor, was incidentally found during microhematuria investigation. This submucosal lesion was successfully removed via cold cup biopsy, differentiating it from pelvic lipomatosis.
Area of Science:
- Urology
- Pathology
- Oncology
Background:
- Bladder lipomas are rare benign tumors composed of mature adipose tissue.
- They are typically found in the submucosa of the bladder wall.
- Differentiating bladder lipoma from other pelvic fatty masses is crucial for diagnosis and management.
Observation:
- A case of a submucosal bladder wall lipoma discovered incidentally during a microhematuria workup is presented.
- The lesion was visualized during cystoscopy.
- The lipoma was successfully removed using cold cup biopsy forceps.
Findings:
- The resected lesion confirmed a submucosal bladder wall lipoma.
- Histological examination revealed mature, well-encapsulated fatty tissue.
- The lipoma was confined to the bladder wall submucosa without causing extrinsic compression.
Implications:
- This case highlights the incidental detection of bladder lipoma during routine investigations.
- Endoscopic removal is a feasible treatment option for symptomatic or incidentally found lipomas.
- Accurate differentiation from pelvic lipomatosis is essential to avoid misdiagnosis and unnecessary interventions.