Jamshaid Anila, Arshad Zeeshan, Zaidi Syed Zafar
The Indus Hospital, Karachi, Pakistan.
J Pak Med Assoc. 2017 Sep;67(9):1447-1449.
Leiomyoma of urinary bladder is a rare tumour with an incidence of < 0.5% of all the bladder tumours. We report a case of leiomyoma of bladder after taking written and informed consent from a 38 years old female, after obtaining the permission of the institutional review board (IRB). She presented in November 2015, with symptoms of obstructive lower urinary tract for 1 year followed by acute urinary retention. Physical examination was unremarkable. Ultrasound showed well circumscribed polypoidal growth in the bladder with mild hydronephrosis on the left side. CT scan abdomen and pelvis with contrast was done, which revealed well circumscribed, rounded soft tissue lesion of 4.4 x 4.5 cm at the posterior inferior surface of the bladder near the bladder neck. Initially TURBT was done but after 6 months patient again went into urinary retention so local excision of the tumour was done. Histopathology confirmed the diagnosis of leiomyoma of the bladder. The diagnosis and management of leiomyoma of the bladder is presented along with review the literature.
膀胱平滑肌瘤是一种罕见肿瘤，在所有膀胱肿瘤中的发病率<0.5%。在获得机构审查委员会（IRB）的许可并征得一名38岁女性的书面知情同意后，我们报告了一例膀胱平滑肌瘤病例。她于2015年11月就诊，有下尿路梗阻症状1年，随后出现急性尿潴留。体格检查无异常。超声显示膀胱内有边界清晰的息肉样肿物，左侧轻度肾积水。进行了腹部和盆腔增强CT扫描，结果显示膀胱后下表面靠近膀胱颈处有一个边界清晰、圆形的4.4×4.5 cm软组织病变。最初进行了经尿道膀胱肿瘤电切术（TURBT），但6个月后患者再次出现尿潴留，因此进行了肿瘤局部切除术。组织病理学确诊为膀胱平滑肌瘤。本文介绍了膀胱平滑肌瘤的诊断和治疗，并对相关文献进行了综述。
