Rare symptomatic bladder leiomyoma: case report and literature review

He, Liang; Li, Shengxian; Zheng, Chao; Chun-xi, Wang

doi:10.1177/0300060517752732

Cited by 22 publications

(25 citation statements)

References 17 publications

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“…Although older reports have reported an equal occurrence between genders and no apparent association with age (age at onset: 22-78 years) [6], recent data has pointed out that the actual incidence of bladder leiomyoma may be twice as high in women than in men [4]. Symptoms are related to site and size of the lesion, and include urinary symptoms (hesitancy, frequency, dribbling), lower abdominal pain or discomfort and pregnancy complications (prematurity); gross hematuria may also be present [6,7].…”

Section: Discussionmentioning

confidence: 94%

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

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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.

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Section: Discussionmentioning

confidence: 94%

“…Fewer than 250 cases of bladder leiomyoma have been reported in the literature so far [4]. Despite being rare, these neoplasms are the most common benign mesenchymal tumours of the urinary bladder, accounting for around one third of these kind of neoplasms.…”

Section: Discussionmentioning

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

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“…The incidence of bladder leiomyoma in women is twice as high as that in men. Furthermore, middle-aged patients of approximately 50 years old present the most considerable adverse symptoms among all age groups [5].…”

Section: Discussionmentioning

confidence: 99%

Transurethral resection of a bladder trigone leiomyoma: a rare case report

et al. 2020

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Background Bladder leiomyomas are rare and benign tumors of the bladder. They account for 0.43% of all bladder tumors, and only 250 cases have been reported in English literature. Based on the size and localization of the lesion, their symptoms vary considerably. Women seem to be more affected, and obstructive symptoms predominate. Surgical treatment is almost always highly effective, leaving a low recurrence rate. Case presentation We present a clinical case of a 52-year old man with macroscopic hematuria and obstructive lower urinary tract symptoms due to a large bladder trigone leiomyoma. CT and MRI showed a well-defined large bladder leiomyoma and cystoscopy established the initial findings. The patient underwent successful transurethral resection of the lesion, and pathology findings confirmed the diagnosis. Conclusions This case report demonstrates that transurethral resection of a large bladder trigone leiomyoma is a feasible and successful procedure. Long term follow-up proves that there is neither scarring distortion of the bladder trigone area nor damage in the ureteral orifices, even though there was a thorough removal of the trigone wall.

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“…Imaging methods such as ultrasound, CT, and magnetic resonance imaging cannot differentiate mesenchymal tumors, and surgical removal of the mass is necessary for definite histopathological diagnosis [14]. The surgical methods that have been applied include laparoscopically assisted, robotically assisted, open, transurethral, and transvaginal excision [15] depending on the tumor location. In this case, the tumor was excluded by an open method since endovesical pathology had been excluded.…”

Section: Ihc Tumor Markermentioning

confidence: 99%

Bladder Leiomyoma with Synchronous Solitary Fibrous Tumor of the Pleura

Mavridis

Georgiadis

Lagoudaki

et al. 2020

Case Reports in Urology

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Bladder leiomyomas (BLs) are extremely rare benign tumors of mesenchymal origin. The exact pathophysiological mechanisms that lead to their appearance remain unclear including hormonal disorders, chromosomal abnormalities, and fetal remnants in the bladder. They usually remain asymptomatic for a long period of time. Solitary fibrous tumors (SFTs) are also rare neoplasms of mesenchymal origin with malignant potential usually affecting the pleura. The pathogenesis of SFTs remains unclear. We report the case of a 28-year-old male presenting with SFT of the pleura and synchronous BL. The patient presented with persistent cough as a sole symptom. Computed tomography (CT) of the thorax revealed a pleural mass, which was surgically removed and proved to be a SFT. At an early follow-up, abdominal CT scan revealed a bladder wall mass that proved to be a BL. This is the first report of BL with synchronous SFT of the pleura. Synchronous BLs and SFTs may be incidental, but the coexistence of two mesenchymal tumors at different sites, in a young patient, may raise the suspicion of a new clinical syndrome that warrants further investigation.

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Rare symptomatic bladder leiomyoma: case report and literature review

Cited by 22 publications

References 17 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

Transurethral resection of a bladder trigone leiomyoma: a rare case report

Bladder Leiomyoma with Synchronous Solitary Fibrous Tumor of the Pleura

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