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Epitheliod leiomyoma of the bladder: an unusual case of irritative and obstructive voiding symptoms.

Kaviani A, Razi A, Mokhtarpour H, Mazloomfard MM, Moeini A, Bahrami-Motlagh H - Case Rep Urol (2012)

Bottom Line: There was a round hyperdense intravesical mass near bladder neck in computed tomography (CT) scan that was compatible with her magnetic resonance imaging (MRI).A well defined 3 × 4 centimeter mass was seen in superolateral part of bladder neck during cystoscopy.The patient's followup was uneventful in a period of 2 years.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Tajrish Hospital, Shaheed Beheshti University of Medical Science, Tehran 19395-4763, Iran.

ABSTRACT
Epitheloid leiomyoma is a very rare subtype of benign mesothelial tumors of the bladder. A 46-year-old female patient presented to our hospital with prolonged dysuria, frequency, and recurrent urinary tract infections. Bimanual examination revealed a mobile, round mass in bladder. There was a round hyperdense intravesical mass near bladder neck in computed tomography (CT) scan that was compatible with her magnetic resonance imaging (MRI). A well defined 3 × 4 centimeter mass was seen in superolateral part of bladder neck during cystoscopy. The patient underwent partial cystectomy and histopathologic findings confirmed the diagnosis of epithelioid leiomyoma. The patient's followup was uneventful in a period of 2 years. Size and anatomic location of this tumor were major factors that affect on treatment.

No MeSH data available.


Related in: MedlinePlus

An intravesical mass near bladder neck with hyperdensity in CT scan of patient.
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fig2: An intravesical mass near bladder neck with hyperdensity in CT scan of patient.

Mentions: A 46-years-old woman presented to our hospital with complaining of dysuria, frequency, and recurrent urinary tract infections from one year ago. She had no hematuria, suprapubic pain, or family history of such problems. She had history of hysterectomy three years before this admission due to uterine leiomyoma. Physical examination revealed a mobile, round mass in bimanual examination. Abdominal ultrasonography revealed a round mass measuring 4 × 5 cm (Figure 1). There was no hydronephrosis in both kidneys. There was a round hyperdense intravesical mass near bladder neck in CT scan (Figure 2). The mass was intramural in MR imaging and showed intermediate signal intensity on T1-weighted images (Figure 3). A well defined 3 × 4 centimeter mass was seen in superolateral part of bladder neck during cystoscopy. There was no any involvement of ureteral orifices. Due to huge size of the mass and its proximity to ureteral orifice, trans-urethral bladder resection was not planned for patient.


Epitheliod leiomyoma of the bladder: an unusual case of irritative and obstructive voiding symptoms.

Kaviani A, Razi A, Mokhtarpour H, Mazloomfard MM, Moeini A, Bahrami-Motlagh H - Case Rep Urol (2012)

An intravesical mass near bladder neck with hyperdensity in CT scan of patient.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3369492&req=5

fig2: An intravesical mass near bladder neck with hyperdensity in CT scan of patient.
Mentions: A 46-years-old woman presented to our hospital with complaining of dysuria, frequency, and recurrent urinary tract infections from one year ago. She had no hematuria, suprapubic pain, or family history of such problems. She had history of hysterectomy three years before this admission due to uterine leiomyoma. Physical examination revealed a mobile, round mass in bimanual examination. Abdominal ultrasonography revealed a round mass measuring 4 × 5 cm (Figure 1). There was no hydronephrosis in both kidneys. There was a round hyperdense intravesical mass near bladder neck in CT scan (Figure 2). The mass was intramural in MR imaging and showed intermediate signal intensity on T1-weighted images (Figure 3). A well defined 3 × 4 centimeter mass was seen in superolateral part of bladder neck during cystoscopy. There was no any involvement of ureteral orifices. Due to huge size of the mass and its proximity to ureteral orifice, trans-urethral bladder resection was not planned for patient.

Bottom Line: There was a round hyperdense intravesical mass near bladder neck in computed tomography (CT) scan that was compatible with her magnetic resonance imaging (MRI).A well defined 3 × 4 centimeter mass was seen in superolateral part of bladder neck during cystoscopy.The patient's followup was uneventful in a period of 2 years.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, Tajrish Hospital, Shaheed Beheshti University of Medical Science, Tehran 19395-4763, Iran.

ABSTRACT
Epitheloid leiomyoma is a very rare subtype of benign mesothelial tumors of the bladder. A 46-year-old female patient presented to our hospital with prolonged dysuria, frequency, and recurrent urinary tract infections. Bimanual examination revealed a mobile, round mass in bladder. There was a round hyperdense intravesical mass near bladder neck in computed tomography (CT) scan that was compatible with her magnetic resonance imaging (MRI). A well defined 3 × 4 centimeter mass was seen in superolateral part of bladder neck during cystoscopy. The patient underwent partial cystectomy and histopathologic findings confirmed the diagnosis of epithelioid leiomyoma. The patient's followup was uneventful in a period of 2 years. Size and anatomic location of this tumor were major factors that affect on treatment.

No MeSH data available.


Related in: MedlinePlus