Scienze Ginecologico-Ostetriche e Scienze Urologiche Department, Viale del Policlinico, Rome, Italy.
Urology. 2012 Apr;79(4):e51-2. doi: 10.1016/j.urology.2011.08.004. Epub 2011 Oct 19.
Paraurethral leiomyoma is a rare, benign, hormone-dependent neoplasm of mesenchymal origin affecting women. The clinical evidence varies, but it tends to be asymptomatic or associated with the sensation of a foreign body; urinary symptoms are rarely described. The distinction among urethral, paraurethral, and anterior vaginal wall leiomyoma can be very difficult owing to their anatomic proximity. Excision of the mass is the recommended treatment, and the diagnosis is confirmed by the pathologic finding to rule out the presence of a sarcoma. A case of paraurethral leiomyoma associated with dysuria, dyspareunia, and obstructive voiding symptoms is reported.
尿道旁平滑肌瘤是一种罕见的良性、激素依赖性间叶来源肿瘤，主要影响女性。临床表现多样，但通常为无症状或伴有异物感；很少出现尿路症状。由于解剖位置相近，尿道、尿道旁和前阴道壁平滑肌瘤之间的鉴别可能非常困难。推荐切除肿块作为治疗方法，通过病理检查排除肉瘤存在来确诊。本文报告一例伴排尿困难、性交困难和排尿梗阻症状的尿道旁平滑肌瘤病例。
