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Bladder leiomyoma with right hydronephrosis.

Ching-Yi Lee1, Li-Jen Wang, Kun-Lung Chuang

  • 1Department of Urology, Chang Gung Memorial Hospital, 5 Fu-Shing Street, 333 Kweishan, Taoyuan, Taiwan.

International Urogynecology Journal and Pelvic Floor Dysfunction
|May 31, 2006
PubMed
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A rare bladder tumor, leiomyoma, can mimic prostate cancer in women, presenting as a female pseudoprostate. This case highlights the importance of considering leiomyoma in the differential diagnosis for such imaging findings.

Area of Science:

  • Urology
  • Oncology
  • Radiology

Background:

  • Leiomyomas are benign smooth muscle tumors that can occur in various organs.
  • Bladder leiomyomas are rare, particularly in female patients.
  • Female pseudoprostate is an uncommon presentation of bladder pathology.

Observation:

  • A female patient presented with symptoms suggestive of urinary tract obstruction.
  • Imaging revealed a heterogeneous soft tissue mass in the bladder with calcifications.
  • The mass appeared to encircle the bladder neck, mimicking a prostate.

Findings:

  • Computed tomography (CT) imaging demonstrated a circumferential, heterogeneous soft tissue mass within the bladder.
  • The mass exhibited internal calcifications, a notable characteristic.

Related Experiment Videos

  • The CT findings were suggestive of a female pseudoprostate appearance.

    • Implications:

    • Bladder leiomyoma should be included in the differential diagnosis for female patients presenting with a pseudoprostate on CT.
    • Accurate diagnosis is crucial for appropriate management and to avoid misdiagnosis as malignancy.
    • This case underscores the importance of comprehensive radiological assessment in complex urological presentations.