Bülent EROL, Pınar Engin ZERK, Berrin GÜÇLÜER, Asıf YILDIRIM, Turhan ÇAŞKURLU, Yavuz Onur DANACIOĞLU

Alt üriner sistem semptomları ile tarafımıza başvuran hastadaki mesane leiyomiyomunun başarılı rezeksiyonu: Olgu Sunumu

Benign mesenchymal bir tümör olan leiyomiyomlar en sık uterusta olmak üzere düz kas hücrelerinin bulunduğu her doku ve organda saptanabilmektedir (1). Literatürde mesanede gözlenen leiyomiyom nadirdir. Mesane leiyomiyomunun radyolojik bulguları malign lezyonlara benzediği için tanı genellikle cerrahi eksizyondan sonra yapılan histopatolojik tanı ile konulmaktadır. Bu olgu sunumunda 45 yaşında kliniğimize sık idrara çıkma ve idrarda yanma şikayetleri ile başvuran ve açık mesane operasyonuyla lezyonu tamamen çıkarılarak tedavi edilen bir kadın hastayı sunacağız.

Anahtar Kelimeler:

mesane, leiyomiyom, alt üriner sistem semptomları

Case Report: Successful resection of a bladder leiomyoma causing lower urinary tract symptoms

Benign mesenchymal tumors known as leiomyomas are commonly found in the uterus and may also be present in any smooth muscle organ (1). Bladder leiomyomas are rare and mimic malignant lesions on radiological studies hence, surgical excision and histopathological examination are necessary for identification. In this case study, we will be presenting a 45 year old female patient who frequently presents to our clinic with dysuria symptoms who was treated with open bladder excision.

Keywords:

bladder, leiomyoma, lower urinary tract symptoms,

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1. Soloway D, Simon MA, Milikowski C, Soloway MS. Epithelioid leiomyoma of the bladder: an unusual cause of voiding symptoms. Urology 1998; 51: 1037-9.
2. Campbell EW, Gislason GJ. Benign mesothelial tumors of the urinary bladder: review of literature and a report of a case of leiomyoma. J Urol 1953; 70: 733-41.
3. Kretschmer JL. Leiomyoma of the bladder with a report of a case and a review of the literature. J Urol 1931; 26: 575-89.
4. Goluboff ET, O’Toole K, Sawczuk IS. Leiomyoma of bladder: report of case and review of literature. Urology 1994; 43: 238-41.
5. Singh O, Gupta SS, Hastir A. Laparoscopic enucleation of leiomyoma of the urinary bladder: a case report and review of the literature. Urol J 2011; 8: 155-8.
6. Mooppan MM, Kim H, Wax SH. Leiomyoma of the female urethra. J Urol 1979; 121: 371-2.
7. Kim IY, Sadeghi F, Slawin KM. Dyspareunia: an unusual presentation of leiomyoma of the bladder. Rev Urol 2001; 3: 152-4.
8. Bai SW, Jung HJ, Jeon MJ, et al. Leiomyomas of the female urethra and bladder: a report of five cases and review of the literature. Int Urogynecol J 2007; 18: 913-7.
9. Silva-Ramos M, Masso P, Versos R, Soares J, Pimenta A. Leiomyoma of the bladder. Analysis of a collection of 90 cases. Actas Urol Esp 2003; 27: 581-6.
10. Fasih N, Prasad Shanbhogue AK, Macdonald DB, et al. Leiomyomas beyond the uterus: unusual locations, rare manifestations. Radiographics 2008; 28: 1931-48.
11. Sundaram CP, Rawal A, Saltzman B. Characteristics of bladder leiomyoma as noted on magnetic resonance imaging. Urology 1998; 52: 1142-3.