Bladder Leiomyoma: A Diagnostic Challenge

JainShaveta,; DahiyaPushpa,; DahiyaKrishna,; KamalHemant,; JainNitin,

doi:10.1089/gyn.2018.0065

Cited by 4 publications

(7 citation statements)

References 5 publications

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“…Microscopically they are composed of interlacing fascicles and bundles of uniform spindle cells containing moderate to abundant eosinophilic cytoplasm. The nuclei are elongated, minimal to absent cytological atypia and mitotic figures are absent [15] . Immunohistochemistry is being used routinely to distinguish from the other differential diagnosis like leiomyosarcoma, inflammatory mayofibroblastic tumour, solitary fibrous tumour, perivascular epithelial tumours.…”

Section: Discussionmentioning

confidence: 99%

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Leiomyoma of Urinary Bladder a Rare Entity: Series of 3 Cases and Review of Literature

Kumar

Karthik

Samyuktha

et al. 2020

Jour. of oncol. res.

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Introduction: Leiomyoma of urinary bladder is a rare entity and comprises 0.43% of all bladder tumors. Here we present our series of 3 cases and the related review of literature.Methods: 3 cases of bladder leiomyoma presented over a period of 16 months in Osmania Medical College and Hospital. Detailed history was taken, physical examination, routine blood, urine and radiological investigations were done. Patients were treated by Trensurethral Resection (TUR) of the mass and histopathological analysis with Immunohistochemistry was done for all cases.Results: All 3 cases were females with mean age of 31.6 years. All cases were endovesical type, mass near bladder neck and presented with obstructive symptoms. Two cases presented with acute retention of urine. Radiological investigations in all patients suggested a possibility of leiomyoma and all cases had reduced urinary flow rates. Histopathology confirmed the diagnosis tin all cases. No recurrence was found at one year of follow up.Conclusion: Leiomyoma of urinary bladder is a rare disorder which frequently occurs in middle aged females. Symptoms are related to its size and location, diagnosis is confirmed by histopathological analysis. Treatment is by surgery (mainly TUR). Prognosis of the disease is excellent.

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Section: Discussionmentioning

confidence: 99%

“…The signal intensity and enhancement pattern was consistent with the classical descriptions. Imaging modalities cannot confirm the exact diagnosis and cannot differentiate a benign leiomyoma from a malignant leiomyosarcoma, so histopathological studies are needed to confirm the diagnosis [15] .…”

Section: Discussionmentioning

confidence: 99%

Leiomyoma of Urinary Bladder a Rare Entity: Series of 3 Cases and Review of Literature

Kumar

Karthik

Samyuktha

et al. 2020

Jour. of oncol. res.

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“…Leiomyoma is a common benign tumor generally located in the uterus [1]. Tumors found in the urinary bladder are usually epithelial in origin and mesenchymal neoplasms are significantly less frequent and estimated at 1% to 5% of all tumors reported in this location [2][3][4].…”

Section: Introductionmentioning

confidence: 99%

“…Tumors found in the urinary bladder are usually epithelial in origin and mesenchymal neoplasms are significantly less frequent and estimated at 1% to 5% of all tumors reported in this location [2][3][4]. The occurrence of leiomyoma in the bladder is quite a rare phenomenon, although it is the most common benign mesenchymal neoplasm of this organ, estimated at about < 0.5% of all bladder tumors and one-third of all mesenchymal ones [1,[4][5][6].…”

Section: Introductionmentioning

confidence: 99%

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Asymptomatic bladder leiomyoma: a report of three cases treated with minimal invasive techniques and a review of literature

Przudzik

Derkaczew²,

Łesiów³

et al. 2022

OncoReview

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Introduction: Bladder leiomyoma is a very rare neoplasm and are estimated at about < 0.5% of all urinary bladder tumors. Most patients complain of lower urinary track symptoms. In 20% of cases patients remain asymptomatic. Objective: The aim of this study was to investigate the topic of bladder leiomyomas, present our experience in the management of this neoplasm and review the published data concerning this rare entity. Material and methods: From March 2018 to February 2021 three patients (2 females, 1 male) aged 39 to 58 years (mean 49.3 years) were treated for bladder leiomyoma in our center. Results: Two patients underwent en bloc transurethral resection of bladder tumor and one had laparoscopic partial cystectomy. Tumors were located in favourable positions with the mean diameter of 37.67 mm. The mean operative time was 46.67 min (range from 15 to 95 min). At the mean follow-up time of 36 months. None of our patients had a recurrence of bladder leiomyoma. Conclusions: Properly performed removal of bladder leiomyoma gives satisfactory results. Transurethral resection of bladder tumor is the gold standard of treatment, highly valued for its safety and minimal invasiveness, however in cases of unfavourable located or large tumors laparoscopic approach or EBRT with defragmentation or morcellation may be preferred.

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Characteristics and outcomes in bladder Leiomyoma management: a systematic review of case reports and case series from the past 20 years

Prihadi,

Hengky,

Lionardi

et al. 2024

BMC Urol

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Introduction Bladder leiomyomas (LM) are uncommon, non-cancerous growths that originate from the smooth muscle cells of the bladder and constitute 0.5% of bladder tumor cases. This review aims to compile existing data and present a summary of bladder leiomyomas’ characteristics, management, and related outcomes. Method We conducted systematic review of studies that investigated bladder leiomyoma. Case studies or series describing individuals with bladder leiomyoma who underwent surgery and the outcomes were included. Four databases were used in our literature search, which was carried out until January 2024: PubMed, Proquest, EBSCOHost, and Google Scholar. We utilized MeSH terms such as “leiomyoma,” “urinary bladder,” and looked for synonyms of “bladder leiomyoma” in free text. Results A total of 99 studies with 119 patients were included. Most reported bladder leiomyoma cases were female, accounting for 79.0% of all cases. While symptomatic patients primarily presented with lower urinary tract symptoms (LUTS) (59.7%), hematuria (24.4%), acute urine retention (11.8%), and about 16.8% of cases were incidentally detected. Storage-related symptoms were the most common LUTS (37.0%). Different diagnostic techniques were used, frequently combining CT (Computed Tomography), MRI (Magnetic Resonance Imaging), USG (Ultrasonography), and/or cystoscopy. Bladder leiomyomas were commonly found on the left lateral wall (26.9%) and the bladder neck (17.6%). In more than half of the cases (52.1%) the treatment techniques used were transurethral resection (TURBt/TUR). Fifteen out of 119 cases (12.6%) had recurrence or remain symptomatic. Symptomatic symptoms at first presentation and extended location are frequently found among recurrent or symptomatic cases after first management. Conclusion Management of bladder leiomyoma should focus on the relief of symptoms and recurrence and be personalized based on the tumor characteristics, patient symptoms, and surgeon’s expertise. Further investigation is necessary to fully understand the best course of treatment and long-term results for bladder leiomyomas. In particular, prospective trials with bigger participant pools and meticulously controlled factors should be the main emphasis of this research. Supplementary Information The online version contains supplementary material available at 10.1186/s12894-024-01624-3.

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Bladder Leiomyoma: A Diagnostic Challenge

Cited by 4 publications

References 5 publications

Leiomyoma of Urinary Bladder a Rare Entity: Series of 3 Cases and Review of Literature

Leiomyoma of Urinary Bladder a Rare Entity: Series of 3 Cases and Review of Literature

Asymptomatic bladder leiomyoma: a report of three cases treated with minimal invasive techniques and a review of literature

Characteristics and outcomes in bladder Leiomyoma management: a systematic review of case reports and case series from the past 20 years

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