Widia Fina, Ardy Hariandy Hamid Agus Rizal, Indraswari Madhyra Tri, Pingkan Trifonia, Billianti Susanto Yayi Dwina, Matondang Sahat B R E
Department of Urology, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia, Jl. Diponegoro No. 71, Salemba, Jakarta Pusat, DKI Jakarta, 10430, Indonesia.
Department of Radiology, Faculty of Medicine Universitas Indonesia, Jakarta, Indonesia, Jl. Diponegoro No. 71, Salemba, Jakarta Pusat, DKI Jakarta, 10430, Indonesia.
Urol Case Rep. 2022 Jul 7;44:102160. doi: 10.1016/j.eucr.2022.102160. eCollection 2022 Sep.
Leiomyomas are benign fibromuscular tumors that arise from smooth muscle cells. Paraurethral leiomyoma accounts for 5% of all paraurethral masses and occurs in 1 in 1000 women. We reported a case of a 43-year-old female presented with a palpable mass at the vaginal introitus with lower urinary tract symptoms. Patient had no pregnancy and sexual history before. A pelvic MRI demonstrated a 1.6 x 1.7 × 2.0 cm mass within the anterior part of the paraurethra. The excision of the mass was done via transvaginal approach and was successful. The final post-operative pathology report was confirmed as leiomyoma.
平滑肌瘤是起源于平滑肌细胞的良性纤维肌肉肿瘤。尿道旁平滑肌瘤占所有尿道旁肿块的5%,每1000名女性中就有1例发病。我们报告了1例43岁女性病例,该患者阴道入口处可触及肿块,并伴有下尿路症状。患者既往无妊娠及性病史。盆腔磁共振成像显示尿道旁前部有一个1.6×1.7×2.0厘米的肿块。通过经阴道途径成功切除了肿块。最终术后病理报告确诊为平滑肌瘤。