Bladder Leiomyoma with Synchronous Solitary Fibrous Tumor of the Pleura

Bladder leiomyomas (BLs) are extremely rare benign tumors of mesenchymal origin. The exact pathophysiological mechanisms that lead to their appearance remain unclear including hormonal disorders, chromosomal abnormalities, and fetal remnants in the bladder. They usually remain asymptomatic for a lon...

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Main Authors: Charalampos Mavridis, George Georgiadis, Eleni D. Lagoudaki, Iordanis Skamagkas, Ioannis Heretis, Anastasios V. Koutsopoulos, Charalampos Mamoulakis
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2020/3717506
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author Charalampos Mavridis
George Georgiadis
Eleni D. Lagoudaki
Iordanis Skamagkas
Ioannis Heretis
Anastasios V. Koutsopoulos
Charalampos Mamoulakis
author_facet Charalampos Mavridis
George Georgiadis
Eleni D. Lagoudaki
Iordanis Skamagkas
Ioannis Heretis
Anastasios V. Koutsopoulos
Charalampos Mamoulakis
author_sort Charalampos Mavridis
collection DOAJ
description Bladder leiomyomas (BLs) are extremely rare benign tumors of mesenchymal origin. The exact pathophysiological mechanisms that lead to their appearance remain unclear including hormonal disorders, chromosomal abnormalities, and fetal remnants in the bladder. They usually remain asymptomatic for a long period of time. Solitary fibrous tumors (SFTs) are also rare neoplasms of mesenchymal origin with malignant potential usually affecting the pleura. The pathogenesis of SFTs remains unclear. We report the case of a 28-year-old male presenting with SFT of the pleura and synchronous BL. The patient presented with persistent cough as a sole symptom. Computed tomography (CT) of the thorax revealed a pleural mass, which was surgically removed and proved to be a SFT. At an early follow-up, abdominal CT scan revealed a bladder wall mass that proved to be a BL. This is the first report of BL with synchronous SFT of the pleura. Synchronous BLs and SFTs may be incidental, but the coexistence of two mesenchymal tumors at different sites, in a young patient, may raise the suspicion of a new clinical syndrome that warrants further investigation.
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publishDate 2020-01-01
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series Case Reports in Urology
spelling doaj-art-e37b76e784154436a387da00b620f06d2025-02-03T00:59:43ZengWileyCase Reports in Urology2090-696X2090-69782020-01-01202010.1155/2020/37175063717506Bladder Leiomyoma with Synchronous Solitary Fibrous Tumor of the PleuraCharalampos Mavridis0George Georgiadis1Eleni D. Lagoudaki2Iordanis Skamagkas3Ioannis Heretis4Anastasios V. Koutsopoulos5Charalampos Mamoulakis6Department of Urology, University General Hospital of Heraklion, University of Crete, Medical School, Heraklion, Crete, GreeceDepartment of Urology, University General Hospital of Heraklion, University of Crete, Medical School, Heraklion, Crete, GreeceDepartment of Pathology, University General Hospital of Heraklion, University of Crete, Medical School, Heraklion, Crete, GreeceDepartment of Urology, University General Hospital of Heraklion, University of Crete, Medical School, Heraklion, Crete, GreeceDepartment of Urology, University General Hospital of Heraklion, University of Crete, Medical School, Heraklion, Crete, GreeceDepartment of Pathology, University General Hospital of Heraklion, University of Crete, Medical School, Heraklion, Crete, GreeceDepartment of Urology, University General Hospital of Heraklion, University of Crete, Medical School, Heraklion, Crete, GreeceBladder leiomyomas (BLs) are extremely rare benign tumors of mesenchymal origin. The exact pathophysiological mechanisms that lead to their appearance remain unclear including hormonal disorders, chromosomal abnormalities, and fetal remnants in the bladder. They usually remain asymptomatic for a long period of time. Solitary fibrous tumors (SFTs) are also rare neoplasms of mesenchymal origin with malignant potential usually affecting the pleura. The pathogenesis of SFTs remains unclear. We report the case of a 28-year-old male presenting with SFT of the pleura and synchronous BL. The patient presented with persistent cough as a sole symptom. Computed tomography (CT) of the thorax revealed a pleural mass, which was surgically removed and proved to be a SFT. At an early follow-up, abdominal CT scan revealed a bladder wall mass that proved to be a BL. This is the first report of BL with synchronous SFT of the pleura. Synchronous BLs and SFTs may be incidental, but the coexistence of two mesenchymal tumors at different sites, in a young patient, may raise the suspicion of a new clinical syndrome that warrants further investigation.http://dx.doi.org/10.1155/2020/3717506
spellingShingle Charalampos Mavridis
George Georgiadis
Eleni D. Lagoudaki
Iordanis Skamagkas
Ioannis Heretis
Anastasios V. Koutsopoulos
Charalampos Mamoulakis
Bladder Leiomyoma with Synchronous Solitary Fibrous Tumor of the Pleura
Case Reports in Urology
title Bladder Leiomyoma with Synchronous Solitary Fibrous Tumor of the Pleura
title_full Bladder Leiomyoma with Synchronous Solitary Fibrous Tumor of the Pleura
title_fullStr Bladder Leiomyoma with Synchronous Solitary Fibrous Tumor of the Pleura
title_full_unstemmed Bladder Leiomyoma with Synchronous Solitary Fibrous Tumor of the Pleura
title_short Bladder Leiomyoma with Synchronous Solitary Fibrous Tumor of the Pleura
title_sort bladder leiomyoma with synchronous solitary fibrous tumor of the pleura
url http://dx.doi.org/10.1155/2020/3717506
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