Crawford Charles K, Yasrab Mohammad, Chu Linda C, Fishman Elliot K
Department of Radiology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Radiol Case Rep. 2024 Nov 4;20(1):501-504. doi: 10.1016/j.radcr.2024.10.092. eCollection 2025 Jan.
Leiomyoma of the bladder is an unusual cause of benign smooth muscle tumor, only reported about 250 times in the literature. Imaging studies including computed tomography (CT) and magnetic resonance imaging (MRI) scans are useful in defining the extent and location of the tumor, however, immunohistology samples must be obtained to rule out similar appearing cancerous masses. In this article, we report the case of a 50-year-old male diagnosed with leiomyoma of the bladder that initially presented as dysuria and raised suspicion of a bladder transitional cell carcinoma (TCC). We focus on the utilization of radiological imaging modalities for diagnosis, management, and preoperational planning with pathological findings for an optimized diagnosis.
膀胱平滑肌瘤是良性平滑肌肿瘤的一种罕见病因,在文献中仅报道过约250例。包括计算机断层扫描(CT)和磁共振成像(MRI)扫描在内的影像学检查有助于确定肿瘤的范围和位置,然而,必须获取免疫组织学样本以排除外观相似的癌性肿块。在本文中,我们报告了一例50岁男性被诊断为膀胱平滑肌瘤的病例,该患者最初表现为排尿困难,曾怀疑患有膀胱移行细胞癌(TCC)。我们着重于利用放射影像学检查手段进行诊断、管理和术前规划,并结合病理结果以实现优化诊断。