Bladder Lymphangioma Treated by Holmium Laser: Extremely Rare Case Report

Abstract

Introduction: Lymphangioma is a sporadic benign tumor of the bladder. It is a congenital disorder and based on the size of lymphatic spaces, it is divided into 3 types of capillary, cavernous, and cystic. Case Report: In this paper, we presented a 40-year-old woman with microscopic hematuria and a normal urinary ultrasound. Urethrocystoscopy showed a flat 4 mm highlighted strawberry-like lesion on the right lateral wall of the bladder. After a cold cup biopsy, the lesion was coagulated by the holmium: YAG (Ho: YAG) laser. Conclusion: In Bladder Lymphangioma Based on the size of the lesion, partial cystectomy or minimally invasive surgeries such as laser modality would be the principal treatment.

Cavernous lymphangioma of the urinary bladder in an adult woman: an additional case report of a rare lesion and literature review

“…The fourth case reported by Seyam et al [ 6 ] was a 27-year-old woman; CT scan showed a heterogeneously enhancing mass arising from the anterior urinary bladder wall measuring 3.8 × 3.6 cm and cystoscopy showed a solid mass at the dome of the bladder covered by a normal mucosa. The fifth case reported by Moradi et al [ 7 ] was a 40-year-old woman with a flat, 4 mm strawberry-like lesion on the right lateral wall of the bladder noticed by urethrocystoscopy.…”

“…The fifth case reported by Moradi et al [ 7 ] was a 40-year-old woman with a flat, 4 mm strawberry-like lesion on the right lateral wall of the bladder noticed by urethrocystoscopy.…”

“…Including our case, the 6 patients of bladder lymphangioma reported in the literature so far have not experienced tumor recurrence after surgery, but the follow-up time is limited (from 3 months to 3 years). Treatments consist of partial cystectomy for 4 patients, and transurethral resection and holmium laser ablation for one each patient [ 3 – 7 ]. Because urinary bladder lymphangioma is usually larger than it appears and often dissecting the full-thickness of the wall, complete resection is warranted to prevent recurrence.…”

“…Lymphangioma usually affects children and infrequently occurs in adults, and is typically formed in the neck and axillary regions [ 2 ]. Lymphangioma is very rarely seen in the urinary bladder and to our knowledge only five such cases have been reported worldwide since 1983 [ 3 – 7 ]. This article describes an additional case of lymphangioma involving the urinary bladder in an adult Chinese woman and the clinical presentations, imaging characteristics as well as the gross and histologic features of the lesion are summarized.…”