Cervell Ferrón J M, Asensio Egea L, Moreno Avilés J, Soler Fernández J, García Pérez R
Servicio de Urología, Hospital Santa María del Rosell, Cartagena, Murcia, España.
Arch Esp Urol. 2000 Dec;53(10):943-6.
To present an additional case of leiomyoma of the bladder, a rare tumor that is frequently discovered incidentally, and to review the few cases reported in the Spanish literature, with special reference to the clinical aspects, complementary tests and treatment.
A case of leiomyoma of the bladder in a patient who had come to deliver after a full-term pregnancy is presented. Routine physical examination on admission revealed a tumor in the anterior aspect of the vagina. Ultrasound, radiological and endoscopic studies were performed. The Spanish literature is reviewed with special reference to the clinical aspects, complementary tests and treatment.
After the diagnosis of a bladder tumor had been confirmed and the effects on the adjacent structures determined, TUR biopsy was performed. The anatomopathological analysis demonstrated leiomyoma of the bladder.
The ultrasound and radiological images of leiomyoma localized to the bladder are sufficient to suspect the nature of the lesion, but the definitive diagnosis is based on the anatomopathological findings. The choice of the type of surgery, open or endoscopic, is based on tumor localization and size.
介绍一例膀胱平滑肌瘤病例，这是一种罕见的肿瘤，常为偶然发现，并回顾西班牙文献中报道的少数病例，特别提及临床方面、辅助检查和治疗。
介绍一例足月妊娠后前来分娩的患者发生膀胱平滑肌瘤的病例。入院时的常规体格检查发现阴道前部有一个肿瘤。进行了超声、放射学和内镜检查。回顾西班牙文献，特别提及临床方面、辅助检查和治疗。
在确诊膀胱肿瘤并确定其对相邻结构的影响后，进行了经尿道活检。解剖病理学分析证实为膀胱平滑肌瘤。
局限于膀胱的平滑肌瘤的超声和放射学图像足以怀疑病变的性质，但最终诊断基于解剖病理学结果。手术方式（开放手术或内镜手术）的选择基于肿瘤的定位和大小。
