Urethral leiomyoma: A rare neoplasm

Area of Science:

• Urology
• Gynecologic Oncology
• Pathology

Background:

• Leiomyomas are benign tumors originating from smooth muscle cells.
• While most commonly found in the uterus, extrauterine leiomyomas are exceptionally rare.
• Neoplasms near the urethra present diagnostic challenges due to overlapping symptoms with other pathologies.

Observation:

• A 42-year-old female presented with frequent urination and a vulval mass.
• The clinical presentation suggested a neoplasm in close proximity to the urethra.
• Diagnostic alertness was crucial for accurate identification.

Findings:

• Surgical removal of the mass was performed.
• Histologic examination confirmed the diagnosis of urethral leiomyoma.
• This confirmed the rare extrauterine and urethral localization of the benign tumor.

Implications:

• This case underscores the importance of considering rare diagnoses in genitourinary presentations.
• Accurate diagnosis and surgical intervention are key for managing urethral leiomyomas.
• Further research into the etiology and management of extrauterine leiomyomas is warranted.