Bladder Leiomyoma in a 15-Year-Old Female Patient: A Case Report.

Autor: Genc YE; Department of Urology, Marmara University School of Medicine, Istanbul, TUR., Ulker ND; Department of Urology, Marmara University School of Medicine, Istanbul, TUR., Toper MH; Department of Pathology, Marmara University School of Medicine, Istanbul, TUR., Yucel S; Department of Urology, Pediatric Urology Division, Marmara University School of Medicine, Istanbul, TUR., Sener TE; Department of Urology, Marmara University School of Medicine, Istanbul, TUR.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 May 29; Vol. 16 (5), pp. e61310. Date of Electronic Publication: 2024 May 29 (Print Publication: 2024).
DOI: 10.7759/cureus.61310
Abstrakt: 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.
Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Genc et al.)
Databáze: MEDLINE