Blasco Casares F J, Sacristán Sanfelipe J, Ibarz Servio L, Batalla Cadira J L, Ruiz Marcellán F J
Servicio de Urología, Hospital Municipal de Badalona, Barcelona, España.
Arch Esp Urol. 1995 Dec;48(10):987-90.
To determine the incidence, form of presentation, symptoms, diagnostic methods and treatment most commonly used, and prognosis of leiomyoma of the bladder in our setting.
We conducted a retrospective, multicenter analysis of the last 700 cases submitted to surgery for a bladder tumor that was found to be leiomyoma of the bladder. We reviewed the Spanish literature of the last twenty years for the following variables: patient age, sex, presenting symptoms, incidental finding or not, value of the tests performed, treatment, follow-up and prognosis.
Leiomyoma of the bladder accounted for 0.43% of the bladder tumors diagnosed at three urological centers. Apart from the three cases described, ten additional cases are reviewed. Forty-six percent were incidentally discovered. US proved to be the best diagnostic method. Treatment was frequently by open surgery. The prognosis was excellent; there has been no recurrence at 22 months' mean follow-up.
Leiomyoma of the bladder is a benign tumor with little or no clinical symptoms or signs, often discovered incidentally during US and accounts for 0.5% of the cases that had undergone surgery for a bladder tumor.
确定我院膀胱平滑肌瘤的发病率、表现形式、症状、最常用的诊断方法和治疗方式以及预后情况。
我们对最近700例经手术确诊为膀胱平滑肌瘤的膀胱肿瘤病例进行了回顾性多中心分析。我们查阅了过去二十年西班牙文献中的以下变量：患者年龄、性别、出现的症状、是否为偶然发现、所做检查的结果、治疗方式、随访情况和预后。
膀胱平滑肌瘤占三个泌尿外科中心诊断出的膀胱肿瘤的0.43%。除了所描述的三例病例外，还回顾了另外十例病例。46%为偶然发现。超声被证明是最佳诊断方法。治疗方式多为开放手术。预后良好；平均随访22个月无复发。
膀胱平滑肌瘤是一种良性肿瘤，临床症状或体征很少或没有，常在超声检查时偶然发现，占因膀胱肿瘤接受手术病例的0.5%。
