Wednesday, April 18, 2012

Cystoscopic enucleation of bladder leiomyoma

Pelvic ultrasound showing a well-defined hypoechoic lesion noted at the anterior wall of the urinary bladder measuring 1.4 × 1.2 × 1.2 cm
Pelvic computed tomography (CT) scans demonstrate bladder wall enhancing soft tissue mass measuring 1.8 × 1.3 × 1.3 cm, which has minimal stranding around it. No invasion to the adjacent structures
Microscopic examination of the mass showed well demarcated smooth muscle tumor
Immunohistochemical examination of the tumor was positive with Desmin immunostaining
Pelvic ultrasound showing the urinary bladder free of any masses
Pelvic CT scan reveal the urinary bladder free of any masses

bladder leiomyoma is a rare benign lesion, which may occur in the urinary tract with an acceptable cure rate using minimally invasive intervention.

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