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Giant bladder leiomyoma presenting as a pelvic mass: a case report
1Department of Obstetrics and Gynecology, Faculty of Medicine, Yüzüncü Yil University, Van, Turkey.
European Journal of Gynaecological Oncology
|January 9, 2008
Summary
This study reports a rare case of a large bladder leiomyoma presenting as a pelvic mass. Early recognition of bladder leiomyoma is crucial for accurate diagnosis of pelvic masses.
Area of Science:
- Urology
- Oncology
- Pathology
Background:
- Bladder leiomyomas are rare mesenchymal tumors, accounting for less than 0.43% of all bladder neoplasms.
- They can present atypically, posing diagnostic challenges.
Observation:
- A large pelvic mass, measuring 16 x 13 cm on MRI and 20 x 20 x 11 cm intraoperatively, was found to originate from the bladder.
- The mass was immobile and occupied a significant portion of the pelvis.
Findings:
- The pelvic mass was surgically removed using a bladder-sparing approach.
- Histopathological examination confirmed the diagnosis of bladder leiomyoma.
Implications:
- This case highlights the importance of considering bladder leiomyoma in the differential diagnosis of large pelvic masses.
- Preoperative recognition can guide surgical planning and improve patient outcomes.
