GIANT SIZED EXTRAVESICAL BLADDER LEIOMYOMA MIMICKING UTERINE CERVICAL LEIOMYOMA: A CASE REPORT WITH 8 YEARS’ POSTOPERATIVE FOLLOW-UP AND A REVIEW OF THE LITERATURE
The incidence of bladder leiomyoma is estimated at only 0.43% because most bladder tumors arise from the urothelium. Moreover, 30% of them are the extra-vesical type. The symptoms include urinary tract obstruction, bladder irritation, and dysuria, with the possibility of dyspareunia or hematuria dep...
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Istanbul University Press
2021-07-01
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| Series: | İstanbul Tıp Fakültesi Dergisi |
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| Online Access: | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/F92502E0E57F4E56997AC006FEB20DE5 |
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| author | Şebnem Alanya Tosun Hamdullah Sözen Tzevat Tefik Ahmet Cem İyibozkurt Yavuz Salihoglu |
| author_facet | Şebnem Alanya Tosun Hamdullah Sözen Tzevat Tefik Ahmet Cem İyibozkurt Yavuz Salihoglu |
| author_sort | Şebnem Alanya Tosun |
| collection | DOAJ |
| description | The incidence of bladder leiomyoma is estimated at only 0.43% because most bladder tumors arise from the urothelium. Moreover, 30% of them are the extra-vesical type. The symptoms include urinary tract obstruction, bladder irritation, and dysuria, with the possibility of dyspareunia or hematuria depending on the size and location of the tumor. Bladder leiomyomas cannot be diagnosed solely by combining symptoms and imaging techniques. We present a rare case of giant sized extravesical-type bladder leiomyoma with a diameter of 15.5x14.5x14 cm, which was misdiagnosed as a uterine cervical leiomyoma. It caused unilateral ureteral distension without related symptoms. During the 8-year postoperative follow-up, the patient had two healthy full-term pregnancies and no recurrence was observed. We reviewed the literature of the most recent five years and discussed the characteristics of 22 bladder leiomyoma cases. Unlike the literature, the present case is unique due to the giant size of the bladder leiomyoma, its ureteral complications, and long follow-up period. Bladder leiomyomas are rare bladder tumors which should be borne in mind during the differential diagnosis of a pelvic mass. Surgical excision is the most useful procedure for diagnosis and treatment. |
| format | Article |
| id | doaj-art-dff1bbf3529e421dba6f46fe2feaf0d9 |
| institution | OA Journals |
| issn | 1305-6441 |
| language | English |
| publishDate | 2021-07-01 |
| publisher | Istanbul University Press |
| record_format | Article |
| series | İstanbul Tıp Fakültesi Dergisi |
| spelling | doaj-art-dff1bbf3529e421dba6f46fe2feaf0d92025-08-20T01:50:21ZengIstanbul University Pressİstanbul Tıp Fakültesi Dergisi1305-64412021-07-0184344845310.26650/IUITFD.2021.804321123456GIANT SIZED EXTRAVESICAL BLADDER LEIOMYOMA MIMICKING UTERINE CERVICAL LEIOMYOMA: A CASE REPORT WITH 8 YEARS’ POSTOPERATIVE FOLLOW-UP AND A REVIEW OF THE LITERATUREŞebnem Alanya Tosun0https://orcid.org/0000-0002-2044-1044Hamdullah Sözen1https://orcid.org/0000-0003-1894-1688Tzevat Tefik2https://orcid.org/0000-0002-1398-8332Ahmet Cem İyibozkurt3https://orcid.org/0000-0002-5047-2191Yavuz Salihoglu4https://orcid.org/0000-0002-1097-0727Giresun Üniversitesi, Giresun, Turkiyeİstanbul Üniversitesi, İstanbul, Türkiyeİstanbul Üniversitesi, İstanbul, TürkiyeDemiroğlu Bilim Üniversitesi, Istanbul, Turkiyeİstanbul Üniversitesi, İstanbul, TürkiyeThe incidence of bladder leiomyoma is estimated at only 0.43% because most bladder tumors arise from the urothelium. Moreover, 30% of them are the extra-vesical type. The symptoms include urinary tract obstruction, bladder irritation, and dysuria, with the possibility of dyspareunia or hematuria depending on the size and location of the tumor. Bladder leiomyomas cannot be diagnosed solely by combining symptoms and imaging techniques. We present a rare case of giant sized extravesical-type bladder leiomyoma with a diameter of 15.5x14.5x14 cm, which was misdiagnosed as a uterine cervical leiomyoma. It caused unilateral ureteral distension without related symptoms. During the 8-year postoperative follow-up, the patient had two healthy full-term pregnancies and no recurrence was observed. We reviewed the literature of the most recent five years and discussed the characteristics of 22 bladder leiomyoma cases. Unlike the literature, the present case is unique due to the giant size of the bladder leiomyoma, its ureteral complications, and long follow-up period. Bladder leiomyomas are rare bladder tumors which should be borne in mind during the differential diagnosis of a pelvic mass. Surgical excision is the most useful procedure for diagnosis and treatment.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/F92502E0E57F4E56997AC006FEB20DE5bladder leiomyomabladder tumorcervical leiomyomacervical tumordifferential diagnosis |
| spellingShingle | Şebnem Alanya Tosun Hamdullah Sözen Tzevat Tefik Ahmet Cem İyibozkurt Yavuz Salihoglu GIANT SIZED EXTRAVESICAL BLADDER LEIOMYOMA MIMICKING UTERINE CERVICAL LEIOMYOMA: A CASE REPORT WITH 8 YEARS’ POSTOPERATIVE FOLLOW-UP AND A REVIEW OF THE LITERATURE İstanbul Tıp Fakültesi Dergisi bladder leiomyoma bladder tumor cervical leiomyoma cervical tumor differential diagnosis |
| title | GIANT SIZED EXTRAVESICAL BLADDER LEIOMYOMA MIMICKING UTERINE CERVICAL LEIOMYOMA: A CASE REPORT WITH 8 YEARS’ POSTOPERATIVE FOLLOW-UP AND A REVIEW OF THE LITERATURE |
| title_full | GIANT SIZED EXTRAVESICAL BLADDER LEIOMYOMA MIMICKING UTERINE CERVICAL LEIOMYOMA: A CASE REPORT WITH 8 YEARS’ POSTOPERATIVE FOLLOW-UP AND A REVIEW OF THE LITERATURE |
| title_fullStr | GIANT SIZED EXTRAVESICAL BLADDER LEIOMYOMA MIMICKING UTERINE CERVICAL LEIOMYOMA: A CASE REPORT WITH 8 YEARS’ POSTOPERATIVE FOLLOW-UP AND A REVIEW OF THE LITERATURE |
| title_full_unstemmed | GIANT SIZED EXTRAVESICAL BLADDER LEIOMYOMA MIMICKING UTERINE CERVICAL LEIOMYOMA: A CASE REPORT WITH 8 YEARS’ POSTOPERATIVE FOLLOW-UP AND A REVIEW OF THE LITERATURE |
| title_short | GIANT SIZED EXTRAVESICAL BLADDER LEIOMYOMA MIMICKING UTERINE CERVICAL LEIOMYOMA: A CASE REPORT WITH 8 YEARS’ POSTOPERATIVE FOLLOW-UP AND A REVIEW OF THE LITERATURE |
| title_sort | giant sized extravesical bladder leiomyoma mimicking uterine cervical leiomyoma a case report with 8 years postoperative follow up and a review of the literature |
| topic | bladder leiomyoma bladder tumor cervical leiomyoma cervical tumor differential diagnosis |
| url | https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/F92502E0E57F4E56997AC006FEB20DE5 |
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