Kilic Furkan Umut, Micoogullari Uygar, Altinova Serkan
Department of Urology, Ankara Yildirim Beyazit University, School of Medicine affiliated with Ministry of Health Ankara City Hospital, Ankara, Turkey.
Department of Urology, University of Health Sciences, Tepecik Education and Research Hospital, İzmir, Turkey.
Urologia. 2023 Feb;90(1):189-191. doi: 10.1177/03915603211010463. Epub 2021 Apr 19.
Leiomyomas of the genitourinary tract are rare and their manifestation in the ureter is even rarer. To our knowledge, only 14 cases of leiomyoma of the ureter have been reported worldwide since 1955, therefore this case will be 15th.
We present a rare case of primary leiomyoma of the right ureter. Ureteroscopy did not show any abnormal findings in the ureteral mucosa. The primary leiomyoma was resected with distal ureterectomy and partial cystectomy that was followed with ureteroneocystostomy due to extraluminal mass that caused hydronephrosis and back pain.
Although rare, we believe that leiomyoma should be considered in the differential diagnoses of well-circumscribed ureteral masses and kidney-sparing surgery should be performed.
泌尿生殖道平滑肌瘤罕见，其在输尿管中的表现更为罕见。据我们所知，自1955年以来，全球仅报道了14例输尿管平滑肌瘤病例，因此本病例将是第15例。
我们报告一例罕见的右侧输尿管原发性平滑肌瘤。输尿管镜检查未发现输尿管黏膜有任何异常发现。由于管外肿块导致肾积水和背痛，对原发性平滑肌瘤进行了远端输尿管切除术和部分膀胱切除术，随后进行了输尿管膀胱吻合术。
尽管罕见，但我们认为在鉴别诊断边界清晰的输尿管肿块时应考虑平滑肌瘤，并应进行保留肾脏的手术。
