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Genc YE, Ulker ND, Toper MH, Yucel S, Sener TE. Bladder Leiomyoma in a 15-Year-Old Female Patient: A Case Report. Cureus 2024; 16:e61310. [PMID: 38983791 PMCID: PMC11231453 DOI: 10.7759/cureus.61310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/29/2024] [Indexed: 07/11/2024] Open
Abstract
Bladder leiomyoma is a rare condition in pediatric and adolescent age groups, accounting for less than 1% of all bladder tumors, presenting a diverse array of histologic types and prevalence. Furthermore, bladder leiomyoma's prevalence is even more seldom with only five reported cases till the present day. Common presentation depends on the localisation and the affected layer in the bladder, urinary outlet or ureteral obstruction, irritative voiding symptoms, pelvic pain, and hematuria are the most common presentations of this condition. Diagnostic, treatment, and follow-up protocols in this entity are not well-established due to their rare occurrence in this age group. After complete surgical excision, the prognosis is excellent and the risk of recurrence is reported to be very low. Up to the present day, no instances of malignant transformation or metastasis have been documented in the literature. This case report aims to enhance current knowledge of the radiological, pathological, and clinical features of bladder leiomyoma in a 15-year-old female patient. The main complaint was lower urinary tract symptoms. An incidental solid bladder mass was discovered during the evaluation with ultrasound and magnetic resonance imaging (MRI). Afterwards, cystoscopy confirmed a 5-centimeter solid mass at the right wall of the bladder, and transurethral piecemeal resection was performed. The bladder mass was found to be intramural, and complete endoscopic resection was considered safe and efficient during the surgery. No complications or recurrence occurred in the postoperative setting.
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Affiliation(s)
- Yunus Emre Genc
- Department of Urology, Marmara University School of Medicine, Istanbul, TUR
| | - Naif Dinc Ulker
- Department of Urology, Marmara University School of Medicine, Istanbul, TUR
| | | | - Selcuk Yucel
- Department of Urology, Pediatric Urology Division, Marmara University School of Medicine, Istanbul, TUR
| | - Tarik Emre Sener
- Department of Urology, Marmara University School of Medicine, Istanbul, TUR
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Lamy S, Hadidi MF, Alhamami N, Almutairi MA, Qashgry A. A Female With Urinary Bladder Leiomyoma: A Case Report. Cureus 2023; 15:e51326. [PMID: 38161540 PMCID: PMC10757458 DOI: 10.7759/cureus.51326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/30/2023] [Indexed: 01/03/2024] Open
Abstract
Bladder leiomyoma is a rare benign tumor that can be found in different bladder parts. Leiomyomas can be investigated through a computed tomography (CT) scan or magnetic resonance imaging (MRI), along with cystoscopy, and surgical intervention is considered the standard treatment for this type of cancer. Our case is a 36-year-old female who presented to a urology clinic with lower abdominal pain and lower urinary tract symptoms (LUTS) for three months. The patient was investigated using MRI and was found to have intramural bladder leiomyoma, which was treated with partial cystectomy with bladder mass resection as it is the gold standard treatment.
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Affiliation(s)
- Salahadin Lamy
- Urology, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, SAU
| | - Mohammed F Hadidi
- Urology, King Saud Bin Abdulaziz University for Health Sciences, College of Medicine, Jeddah, SAU
| | - Nawaf Alhamami
- Urology, King Saud Bin Abdulaziz University for Health Sciences, College of Medicine, Jeddah, SAU
| | | | - Abdullah Qashgry
- Urology, King Abdulaziz Medical City, National Guard Health Affairs, Jeddah, SAU
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Ma W, Huang X, Xie N, Tan Q, Zhang H, Zhu Y, Li X. MRI characteristics and correlation with pathology of an unusual inflammatory myofibroblastic tumor of the bladder. BJR Case Rep 2022; 8:20220086. [PMID: 36632554 PMCID: PMC9809916 DOI: 10.1259/bjrcr.20220086] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2022] [Revised: 09/04/2022] [Accepted: 09/11/2022] [Indexed: 01/14/2023] Open
Abstract
We report a case of inflammatory myofibroblastic tumor of the bladder (IMTB) that arises from left posterior bladder wall. The IMTB usually demonstrates slight hypointensity on T1WI, heterogeneous bright hyperintensity on T2WI, hyperintensity on DWI, and no restricted diffusion on ADC map. IMTB exhibits irregular ring enhancement and scatters stripe-like enhancement in central area with progressive and persistent enhancement pattern on CE-MRI. High-contrast multisequence MRI may be a potential technique to distinguish IMTB from other bladder tumors.
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Affiliation(s)
- Wanling Ma
- Department of Radiology, The Second Affiliated Hospital, School of Medicine, The Chinese University of Hong Kong, Shenzhen, Guangdong Province, 518172, China
| | - Xu Huang
- Department of Radiology, The Second Affiliated Hospital, School of Medicine, The Chinese University of Hong Kong, Shenzhen, Guangdong Province, 518172, China
| | - Nanai Xie
- Department of Radiology, The Second Affiliated Hospital, School of Medicine, The Chinese University of Hong Kong, Shenzhen, Guangdong Province, 518172, China
| | - Qi Tan
- Department of Pathology, The Second Affiliated Hospital, School of Medicine, The Chinese University of Hong Kong, Shenzhen, Guangdong Province, 518172, China
| | - Heng Zhang
- Department of Radiology, The Second Affiliated Hospital, School of Medicine, The Chinese University of Hong Kong, Shenzhen, Guangdong Province, 518172, China
| | - Yuhui Zhu
- Department of Radiology, The Second Affiliated Hospital, School of Medicine, The Chinese University of Hong Kong, Shenzhen, Guangdong Province, 518172, China
| | - Xingzhi Li
- Department of Urology, The Second Affiliated Hospital, School of Medicine, The Chinese University of Hong Kong, Shenzhen, Guangdong Province, 518172, China
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AlHalak R, Alkabbani S, Nasseif H, Oghanna N, Janahi F. Bladder leiomyoma treated with transurethral resection of bladder tumor (TURBT): Case report. Int J Surg Case Rep 2022; 98:107464. [PMID: 36007408 PMCID: PMC9424341 DOI: 10.1016/j.ijscr.2022.107464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2022] [Revised: 07/26/2022] [Accepted: 07/26/2022] [Indexed: 11/27/2022] Open
Affiliation(s)
- Rouzy AlHalak
- 5th year medical student at Mohammed Bin Rashid University for Medicine and Health Sciences, Dubai, United Arab Emirates.
| | - Sarah Alkabbani
- 5th year medical student at Mohammed Bin Rashid University for Medicine and Health Sciences, Dubai, United Arab Emirates.
| | - Hala Nasseif
- 4th year medical student at Mohammed Bin Rashid University for Medicine and Health Sciences, Dubai, United Arab Emirates.
| | - Neshteman Oghanna
- Consultant Hispathologist/Cytopathologist, Pathology and Laboratory Medicine department, Mediclinic City Hospital, Dubai, United Arab Emirates.
| | - Farhad Janahi
- Department of Urological Surgery, Mediclinic City Hospital, Dubai Healthcare City, Dubai, United Arab Emirates; Mohammed Bin Rashid University for Medicine and Health Sciences, Dubai, United Arab Emirates.
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Abstract
Urothelial pediatric neoplasms are relatively rare. Papillary urothelial neoplasms of low malignant potential (PUNLMPs) and rhabdomyosarcoma (RMS) are the most common bladder malignancies in the pediatric population. Clinical presentation encompasses macroscopic hematuria or lower urinary tract symptoms (or both) or is detected incidentally at imaging. Tumors arising from the bladder can originate from any of its four histological layers (urothelium, lamina propria, detrusor, and adventitia) and are divided into tumors that have an epithelial origin (arising from the urothelium) and those that have a non-epithelial origin (mesenchymal neoplasms). RMS is the most common malignant tumor of the urinary bladder in children younger than 10 years. Deriving from the embryonic mesenchymal cell, the histopathologic subtypes of RMS are embryonal RMS (>90%) and alveolar histology (<10%). Pre-treatment imaging should be carried out by computed tomography (CT) or at present is more likely with magnetic resonance imaging of the pelvis. Chest CT and bone scintigraphy are used to screen for metastases. In selected cases, a positron emission tomography scan may be recommended to evaluate suspicious lesions. The current prognostic classification considers age, histologic subtype, tumor site, size, and extent (nodal or distant metastases). Staging is based on pre-operative findings, group is based on intra-operative findings and pathology, and risk stratification is derived from both stage and group data. Pre-operative chemotherapy is the most common first-line intervention for bladder/prostate RMS, before surgery or radiation therapy. Collaborative groups such as the Soft Tissue Sarcoma Committee of the Children’s Oncology Group and the European Pediatric Soft Tissue Sarcoma Study Group endorse this therapy. PUNLMPs are generally solitary, small (1–2 cm), non-invasive lesions that do not metastasize. Therapy is usually limited to a transurethral resection of the bladder tumor. About 35% are recurrent and around 10% of them increase in size if they are not treated.
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Affiliation(s)
- Roberto Iglesias Lopes
- Pediatric Urology Unit, Division of Urology, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, 05402-000, Brazil
| | - Marcos Figueiredo Mello
- Pediatric Urology Unit, Division of Urology, Hospital das Clínicas, University of São Paulo Medical School, São Paulo, 05402-000, Brazil
| | - Armando J Lorenzo
- Division of Urology, The Hospital for Sick Children and Department of Surgery, University of Toronto, Toronto, ON, Canada
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Not All Pediatric Bladder Masses are Rhabdomyosarcoma: Report of a Rare Case With Review of the Literature. J Pediatr Hematol Oncol 2019; 41:e530-e533. [PMID: 30299349 DOI: 10.1097/mph.0000000000001323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Leiomyoma of the urinary bladder in the pediatric age group is one of the rarest tumors with only 2 case reports in the English literature. Rhabdomyosarcoma is the commonest tumor at this site in this age group. It needs to be distinguished from rhabdomyosarcoma by histomorphology for appropriate treatment and management. We report the third case of urinary bladder leiomyoma arising in a 6-year-old boy with a short review of the literature.
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Shelmerdine SC, Lorenzo AJ, Gupta AA, Chavhan GB. Pearls and Pitfalls in Diagnosing Pediatric Urinary Bladder Masses. Radiographics 2017; 37:1872-1891. [DOI: 10.1148/rg.2017170031] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Affiliation(s)
- Susan C. Shelmerdine
- From the Department of Clinical Radiology, Great Ormond Street Hospital, London, England (S.C.S.); Departments of Urology (A.J.L.), Oncology (A.A.G.), and Diagnostic Imaging (G.B.C.), The Hospital for Sick Children, 555 University Ave, Toronto, ON, Canada M5G 1X8; and Department of Medical Imaging, University of Toronto, Toronto, Ont, Canada (G.B.C.)
| | - Armando J. Lorenzo
- From the Department of Clinical Radiology, Great Ormond Street Hospital, London, England (S.C.S.); Departments of Urology (A.J.L.), Oncology (A.A.G.), and Diagnostic Imaging (G.B.C.), The Hospital for Sick Children, 555 University Ave, Toronto, ON, Canada M5G 1X8; and Department of Medical Imaging, University of Toronto, Toronto, Ont, Canada (G.B.C.)
| | - Abha A. Gupta
- From the Department of Clinical Radiology, Great Ormond Street Hospital, London, England (S.C.S.); Departments of Urology (A.J.L.), Oncology (A.A.G.), and Diagnostic Imaging (G.B.C.), The Hospital for Sick Children, 555 University Ave, Toronto, ON, Canada M5G 1X8; and Department of Medical Imaging, University of Toronto, Toronto, Ont, Canada (G.B.C.)
| | - Govind B. Chavhan
- From the Department of Clinical Radiology, Great Ormond Street Hospital, London, England (S.C.S.); Departments of Urology (A.J.L.), Oncology (A.A.G.), and Diagnostic Imaging (G.B.C.), The Hospital for Sick Children, 555 University Ave, Toronto, ON, Canada M5G 1X8; and Department of Medical Imaging, University of Toronto, Toronto, Ont, Canada (G.B.C.)
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Ince E, Oğuzkurt P, Canpolat ET, Temiz A, Hiçsönmez A. Congenital leiomyoma of the distal ileum associated with ileal atresia: a case report. J Pediatr Surg 2013; 48:e33-5. [PMID: 23480946 DOI: 10.1016/j.jpedsurg.2012.12.052] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2012] [Revised: 12/27/2012] [Accepted: 12/28/2012] [Indexed: 10/27/2022]
Abstract
Association of distal ileal atresia with leiomyoma is a quite rare condition. Herein, we describe a newborn who underwent surgery for ileal atresia and was found to have leiomyoma on pathological examination in the atretic segment. The presence of leiomyoma may indicate a malformation during recanalization and could play a role in the etiology of intestinal atresia. Thus, some cases of atresia may be due to tumor (leiomyoma) in the bowel wall.
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Affiliation(s)
- Emine Ince
- Department of Pediatric Surgery, Baskent University Faculty of Medicine, Ankara, Turkey.
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