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[Simultaneous leiomyoma and transitional carcinoma of the bladder. Report of a case]
Raul Espinosa Bravo1, Manuel Lemourt Oliva, Martha Puente Guillén
1Servicio de Urología, Hospital Freyre de Andrade, Ciudad de La Habana, Cuba.
Objectives:
To report this case of bladder leiomyoma, benign tumor of the bladder, due to its low frequency (0.43%) and to perform a bibliographic review.
Methods And Results:
Case of a 46 year old female who refers a history of voiding symptoms, macroscopic haematuria with clots, asthenia, anorexia and right flank pain for 15 days prior to consultation. After blood tests, X ray tests, ultrasound and CT scan she underwent hysterectomy, anexectomy, radical cystectomy and ureteral reimplantation to a Mainz II sigmoid pouch. Currently, 44 months after surgery her outcome has been satisfactory.
Conclusion:
Bladder leiomyoma, a disease without specific symptoms, is occasionally found in pathological evaluation; biopsy is the confirmative diagnostic test. They are rarely found outside the uterus and gastrointestinal tract.