Leiomyoma of the urinary bladder: a case report

Ortiz, Margarita; Henao, Daniel E.; Maya, Wálter Cardona; Ceballos, Maurizio Massaro

doi:10.1590/s1677-5538.ibju.2013.03.18

Cited by 10 publications

(5 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several endocrine alterations and genomic mutations have been associated with an increased risk of bladder leiomyoma [10,11]; however, our patient did not screen positive for any of them.…”

Section: Discussioncontrasting

confidence: 75%

“…The treatment, which is almost always surgical, is strongly associated with the tumour burden, and range from TURB for smaller tumours to open surgical excision or radical cystectomy for larger ones. Minimally invasive surgeries, such as laparoscopic surgery and robot-assisted excision, have been described as well [10,[23][24][25][26][27]. Also given the young age of the patient, an extremely accurate preoperative diagnosis was of utmost importance to plan the most conservative treatment.…”

Section: /4mentioning

confidence: 99%

See 1 more Smart Citation

Incidental Urinary Bladder Leiomyoma: A Successful Long Term Conservative Treatment Based on Pre-operatory Magnetic Resonance Imaging Findingsr

Prayer-Galetti¹,

Scagliori²,

Stramare³

et al. 2018

J Cancer Res Oncobiol

View full text Add to dashboard Cite

Background: Leiomyomas are benign mesenchymal neoplasms which rarely occur in the urinary bladder, accounting for just 0.43% of all bladder tumours. Due to the paucity of data, very little is known about diagnosis, treatment and follow-up. Thus, despite their nonmalignant nature, they may be considered a true therapeutic challenge. Objective: Conservative management is paramount when assessing and managing benign neoplasms. It is the responsibility of the surgeon to tailor the most appropriate surgery for each patient, finding the best balance between oncologic and functional outcomes and future quality of life. Case report: We present a case report of a patient who was incidentally diagnosed with a large, asymptomatic intramural leiomyoma of the urinary bladder. Following abdominal imaging, biopsy specimens were obtained through cystoscopy, and a transurethral resection of the bladder (TURB) was eventually performed. Imaging findings including Ultrasonography (US), triple-phase Computed Tomography Urography (CTU) and Magnetic Resonance Urography (MRU) are reported, and the most representative images are shown. The patient has been successfully managed with staged TURB and then close outpatient follow-up, and she is currently recurrence-free 8 years after the last endoscopic treatment. Conclusion: Despite the benign nature of leiomyomas, the surgical options for these tumours range from TURB to radical cystectomy. Here, we underline how a conservative approach may be successful regardless of the size and site of the lesion, thus preserving the bladder and the patient's quality of life without affecting the oncologic outcomes.

show abstract

“…Several endocrine alterations and genomic mutations have been associated with an increased risk of bladder leiomyoma [10,11]; however, our patient did not screen positive for any of them.…”

Section: Discussioncontrasting

confidence: 75%

Section: /4mentioning

confidence: 99%

Incidental Urinary Bladder Leiomyoma: A Successful Long Term Conservative Treatment Based on Pre-operatory Magnetic Resonance Imaging Findingsr

Prayer-Galetti¹,

Scagliori²,

Stramare³

et al. 2018

J Cancer Res Oncobiol

View full text Add to dashboard Cite

show abstract

“…[ 2 3 ] In a review by Khater and Sakr in 2013, there were only 250 cases previously reported and since then six more cases were reported. [ 2 5 6 7 8 9 ] There is a female preponderance (70%), and this pathology affects those in their third to sixth decades, with a mean age of 44 years. [ 2 6 7 ] However, there are cases described in younger patients, as is the case with our patient.…”

Section: Discussionmentioning

confidence: 99%

Bladder leiomyoma

et al. 2017

View full text Add to dashboard Cite

Leiomyomas of the bladder constitute <0.5% of all bladder tumors, with about 250 cases reported. Most patients present with urinary frequency or obstructive urinary symptoms. There are rare cases with other presentations, such as dyspareunia. We report a 22-year-old female who presented with complaints of pelvic discomfort, dysuria, and dyspareunia. Imaging and cystoscopy showed a protruding bladder lesion, which was excised through a transurethral resection. The pathologic diagnosis was bladder leiomyoma. Although being a benign condition, they can cause several different symptoms and should be early diagnosed and treated.

show abstract

“…Even though no pathophysiological components have been portrayed to explain the development of this tumor, it may be related to an endocrine shift. 1,2 Here, we report the case of a senior woman who primarily presented with abdominal pain and vaginal bleeding. She complained of frequent urination, pelvic pain, and a feeling of pelvic pressure.…”

Section: Introductionmentioning

confidence: 99%

Bladder leiomyoma presenting as uterine pedunculated leiomyoma

Nazari

Pirastehfar

Torabizadeh

2022

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

Bladder leiomyoma is a rare benign mesothelial tumor that is more commonly reported in women. Most patients present with frequent urination or obstructive urinary symptoms. Here, we portray a 50-year-old woman who presented to the clinic with abdominal pain and vaginal bleeding. Imaging showed a lobulated mass at the posterior aspect of the urinary bladder. The pathology of the surgery demonstrated a benign mesenchymal neoplasm composed of interlacing bundles of smooth muscle fibers with a whirling pattern, which eventually confirmed bladder leiomyoma. Although this tumor is benign, it can be misdiagnosed with other diseases such as a urothelial lesion or urothelial cell carcinoma of the bladder. Accordingly, it can inevitably affect patient management. Therefore, it must be diagnosed quickly and accurately and appropriate treatment should be applied.

show abstract

Leiomyoma of the urinary bladder: a case report

Cited by 10 publications

References 2 publications

Incidental Urinary Bladder Leiomyoma: A Successful Long Term Conservative Treatment Based on Pre-operatory Magnetic Resonance Imaging Findingsr

Incidental Urinary Bladder Leiomyoma: A Successful Long Term Conservative Treatment Based on Pre-operatory Magnetic Resonance Imaging Findingsr

Bladder leiomyoma

Bladder leiomyoma presenting as uterine pedunculated leiomyoma

Contact Info

Product

Resources

About