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[Leiomyoma of the urinary bladder]
Radhia Saidi1, Mounir Lefi, Mounir Touffahi
1Service d'Urologie, EPS F. Bourguiba, Monastir, Tunisie.
Summary
Bladder leiomyoma, a rare benign mesenchymal tumor, is the most common type. This case highlights surgical treatment for total hematuria caused by a bladder leiomyoma, with a good prognosis.
Area of Science:
- Urology
- Oncology
- Pathology
Background:
- Benign mesenchymal tumors of the urinary bladder are uncommon.
- Leiomyoma represents the most frequent histological subtype among these rare neoplasms.
Observation:
- A 50-year-old female patient presented with significant total hematuria.
- Diagnostic imaging, including ultrasonography and intravenous urography, revealed an intravesical solid mass originating from the bladder dome.
- Cystoscopic evaluation indicated a benign neoplastic process.
Findings:
- Pathologic assessment of a biopsy confirmed the presence of a leiomyoma.
- Surgical resection via partial cystectomy was successfully performed.
- Histopathological examination definitively identified the tumor as a leiomyoma.
Implications:
- Leiomyoma of the urinary bladder, though rare, is a benign entity.
- The prognosis for bladder leiomyoma is favorable, with surgical excision being the definitive treatment.
- This case underscores the importance of accurate diagnosis and surgical management for benign bladder tumors.