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[Obstructive urethral angioleiomyoma]
Antonio Jalón Monzón1, Jorge García Rodríguez, Alberto Sánchez Trilla
1Servicio de Urología, Hospital Universitario Central de Asturias, Oviedo, España.
Archivos Espanoles De Urologia
|February 18, 2005
Summary
This case report details a rare male urethral angioleiomyoma, a benign smooth muscle tumor. Surgical resection is the recommended treatment for this exceptionally uncommon condition.
Area of Science:
- Urology
- Pathology
- Oncology
Background:
- Angioleiomyomas are benign tumors originating from smooth muscle cells within blood vessel walls.
- While more common in females, angioleiomyomas are exceptionally rare in the male urethra.
Observation:
- A case of male urethral angioleiomyoma presenting with obstructive symptoms is reported.
- The tumor was located in the bulbar urethra, causing stenosis.
Findings:
- Surgical excision and end-to-end anastomosis were performed for the urethral stenosis.
- Pathological examination confirmed the diagnosis of angioleiomyoma.
Implications:
- This report highlights the rarity of urethral angioleiomyoma in males and reviews its characteristics.
- Surgical resection is the primary therapeutic approach, with rare instances of recurrence or metastasis.
- Understanding the histological features, including cellularity and smooth muscle markers (vimentin, desmin, actin), is crucial for diagnosis.