Tsukamoto T, Hasegawa S, Tadokoro S, Kodera K, Kaneda S, Jitsukawa M
Hinyokika Kiyo. 1986 Feb;32(2):253-60.
Two cases of leiomyoma of the bladder are reported. The first case was a 79-year-old female who presented with gross hematuria and frequent urination. Cystoscopy disclosed a large tumor covered by intact mucosa. This lesion was further evaluated by ultrasound, and was thought to be a submucosal tumor of the bladder. The second case was a 43-year-old female who was referred for further investigation of left giant hydronephrosis. During the investigation, submucosal tumor was incidentally found. Concerning the etiology of the hydronephrosis, left ureteral stenosis due to a previous gynecological operation was suspected. These lesions proved to be leiomyoma of the bladder histologically, and were successfully enucleated. Difficulty in diagnosis of this disease and controversy as to the optimal treatment prompted us to report these cases and to review 68 cases reported in the Japanese literature.
报告了两例膀胱平滑肌瘤。第一例为79岁女性，表现为肉眼血尿和尿频。膀胱镜检查发现一个被完整黏膜覆盖的大肿瘤。通过超声对该病变进行了进一步评估，认为是膀胱黏膜下肿瘤。第二例为43岁女性，因左肾巨大积水转诊作进一步检查。在检查过程中偶然发现黏膜下肿瘤。关于肾积水的病因，怀疑是既往妇科手术导致的左输尿管狭窄。这些病变经组织学证实为膀胱平滑肌瘤，并成功摘除。该病诊断困难以及关于最佳治疗方法的争议促使我们报告这些病例并回顾日本文献中报道的68例病例。
