LEIOMYOMA URINARY BLADDER, MIMICKING UROTHELIAL CANCER

Authors

Abstract

Leiomyoma of the urinary bladder is a rare bladder tumour, which is benign in nature. On presentation, it resembles urothelial cancer but it has an excellent prognosis. We reported two cases of urinary bladder leiomyoma. Both the patients presented with lower urinary tract symptoms (LUTS) and the patient in the second case also had painless haematuria. Bladder mass was detected initially on ultrasound and confirmed on contrast-enhanced computed tomography (CT). Transurethral resection of bladder tumour was performed in both cases and no recurrence was found on initial follow-up. But the second case had haematuria and recurrence on subsequent follow-up and managed by performing a partial cystectomy. Endoscopic management of bladder leiomyoma is a safe treatment option for bladder leiomyoma and if multiple recurrences noted with symptoms, then partial cystectomy can be considered. Histopathology is the only definitive way of establishing the diagnosis. These patients can be followed up initially with cystoscopy, and if no recurrence is detected, subsequent follow-up can be carried out with ultrasound.

Author Biographies

Muhibullah Bangash, Aga Khan University Hospital Karachi

Urology section

Nuzhat Faruqui, Aga Khan University, Karachi, Pakistan.

Assistant Professor Urology, Dept of Surgery

Muhammad Anis-ul-Islam , The Indus Hospital, Karachi, Pakistan.

Department of Urology, The Indus Hospital, Karachi, Pakistan.

Zeeshan Uddin, Aga Khan University, Karachi, Pakistan.

Assistant Professor, Pathology & Laboratory Medicine, Aga Khan University Hospital. Aga Khan University, Karachi, Pakistan.

References

Mendes JE, Ferreira AV, Coelho SA, Gil C. Bladder leiomyoma. Urol Ann 2017;9(3):275–7.

Castillo O, Foneron A, Vitagliano G, Sánchez-Salas R, Díaz M, Fajardo M, et al. Bladder leiomyoma: case report. Arch Esp Urol 2008;61(1):87–91.

Rubio Muñoz A, Bono Ariño A, Berné Manero JM, Sanz Vélez JI, Abad Roger J, Escusol Lorente R, et al. Leiomyoma of the bladder. Arch Esp Urol 2000;53(10):934–7.

Jiménez AJ, Lozano UF, de Pablo CA, Pinós PM, Jiménez CJ, Montesino SM, et al. Leiomyoma of the bladder. Report of a case. Actas Urol Esp 2001;25(3):223–5.

Silva-Ramos M, Massó P, Versos R, Soares J, Pimenta A. Leiomioma de vejiga: Análisis de agregación de 90 casos. Actas Urol Esp 2003;27(8):581–6.

Bullock R, Mayhew R, Gibson T, James M, Didier M, Nebhnani J. Leiomyoma: an unusual bladder neoplasm. BMJ Case Rep 2011;2011:bcr0120113739.

Kretschmer HL. Leiomyoma of the bladder with a report of a case and a review of the literature. J Urol 1931;26(4):575–90.

Goluboff ET, O’Toole K, Sawczuk IS. Leiomyoma of bladder: report of case and review of literature. Urology 1994;43(2):238–41.

Peng S, Zhang L, Hu L, Chen J, Ju J, Wang X, et al. Factors influencing the dosimetry for high-intensity focused ultrasound ablation of uterine fibroids: a retrospective study. Medicine (Baltimore) 2015;94(13):e650.

Neto AG, Gupta D, Biddle DA, Torres C, Malpica A. Urinary bladder leiomyoma during pregnancy: report of one case with immunohistochemical studies. J Obstet Gynaecol 2002;22(6):683–5.

Larsson G. Multiple leiomyomata of the urinary bladder in a hysterectomized woman. Acta Obstetricia Gynecol Scand 1994;73(1):78–80.

Kalathia J, Agrawal S, Chipde SS, Agrawal R. Total endoscopic management of a large bladder leiomyoma. Urol Ann 2015;7(4):527–9.

John NK, Fuad SF, James DN. Leiomyoma of bladder. Report of 2 cases and demonstration of ultrasonic appearance. Urology 1990;35:210–12.

Dehesa M. Leiomyoma of the urinary bladder floor: diagnosis by transvaginal ultrasound. Urol Int 1992;48(1):99–101.

Sherer DM, Gorelick C, Gabbur N, Cheung W, Lee YC, Serur E, et al. Color Doppler Imaging and 3‐Dimensional Sonographic Findings of Urinary Bladder Leiomyoma. J Ultrasound Med 2007;26(5):667–70.

Yoon IJ, Kim KH, Lee BH. Leiomyoma of the urinary bladder: MR findings. AJR Am J Roentgenol 1993;161(2):449–50.

Xin J, Lai HP, Lin SK, Zhang QQ, Shao CX, Jin L, et al. Bladder leiomyoma presenting as dyspareunia: Case report and literature review. Medicine (Baltimore) 2016;95(28):e3971.

Rodríguez JD, Torroella VS, Ramírez JR, Batlle GM. Bladder leiomyoma. Review of the literature and report of a new case. Arch Esp Urol 2000;53(2):167–70.

Ojea AC, Núñez AL, Alonso AR, Rodríguez BI, Benavente JD, Barros JR, et al. Bladder leiomyoma. Actas Urol Esp 2001;25(10):759–63.

Jeschke K, Wakonig J, Winzely M, Henning K. Laparoscopic partial cystectomy for leiomyoma of the bladder wall. J Urol 2002;168(5):2115–6.

Hong SY, Lee TS, Kim JH. Laparoscopic enucleation of a bladder leiomyoma. J Minim Invasive Gynecol 2009;16(6):772–4.

Thiel DD, Williams BF, Krishna M, Leroy TJ, Igel TC. Robot-assisted laparoscopic excision of bladder wall leiomyoma. J Endourol 2009;23(4):579–82.

Sugimoto K, Yamamoto Y, Hashimoto K, Esa A, Tsujihashi H. Leiomyoma of the urinary bladder treated by transurethral resection: a case report. Hinyokika Kiyo 2007;53(4):251–3.

Khallouk A, Wallerand H, Kleinclauss F, Debiere F, Bittard H, Bernardini S. Bladder leiomyoma treated by transurethral endoscopic resection. Prog Urol 2005;15(6):1135–7.

Published

2021-10-25