Asymptomatic bladder leiomyoma: a report of three cases treated with minimal invasive techniques and a review of literature Case report

Main Article Content

Maciej Przudzik
Maria Derkaczew
Mirosław Łesiów
Marek Roslan

Abstract

Introduction: Bladder leiomyoma is a very rare neoplasm and are estimated at about < 0.5% of all urinary bladder tumors. Most patients complain of lower urinary track symptoms. In 20% of cases patients remain asymptomatic.


Objective: The aim of this study was to investigate the topic of bladder leiomyomas, present our experience in the management of this neoplasm and review the published data concerning this rare entity.


Material and methods: From March 2018 to February 2021 three patients (2 females, 1 male) aged 39 to 58 years (mean 49.3 years) were treated for bladder leiomyoma in our center.


Results: Two patients underwent en bloc transurethral resection of bladder tumor and one had laparoscopic partial cystectomy. Tumors were located in favourable positions with the mean diameter of 37.67 mm. The mean operative time was 46.67 min (range from 15 to 95 min). At the mean follow-up time of 36 months. None of our patients had a recurrence of bladder leiomyoma.


Conclusions: Properly performed removal of bladder leiomyoma gives satisfactory results. Transurethral resection of bladder tumor is the gold standard of treatment, highly valued for its safety and minimal invasiveness, however in cases of unfavourable located or large tumors laparoscopic approach or EBRT with defragmentation or morcellation may be preferred.

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How to Cite
1.
Przudzik M, Derkaczew M, Łesiów M, Roslan M. Asymptomatic bladder leiomyoma: a report of three cases treated with minimal invasive techniques and a review of literature. OncoReview [Internet]. 2022Sep.30 [cited 2023Jan.28];12(3(47):59-4. Available from: https://journalsmededu.pl/index.php/OncoReview/article/view/2426
Section
PERSONALIZED ONCOLOGY

References

1. Jain S, Dahiya P, Dahiya K et al. Bladder Leiomyoma: A Diagnostic Challenge. J Gynecol Surg. 2019; 35(4): 276-8. http://doi.org/10.1089/gyn.2018.0065.
2. Knoll LD, Segura JW, Scheithauer BW. Leiomyoma of the bladder. J Urol. 1986; 136(4): 906-8. http://doi.org/10.1016/S0022-5347(17)45124-X .
3. Park JW, Jeong BC, Seo S Il et al. Leiomyoma of the urinary bladder: A series of nine cases and review of the literature. Urology. 2010; 76(6): 1425-9. http://doi.org/10.1016/j.urology.2010.02.046.
4. Goluboff ET, O’Toole K, Sawczuk IS. Leiomyoma of bladder: Report of case and review of literature. Urology. 1994; 43(2): 238-41. http://doi.org/10.1016/0090-4295(94)90053-1.
5. He L, Li S, Zheng C et al. Rare symptomatic bladder leiomyoma: case report and literature review. J Int Med Res. 2018; 46(4): 1678-84. http://doi.org/10.1177/0300060517752732.
6. Singh O, Gupta SS, Hastir A. Laparoscopic enucleation of leiomyoma of the urinary bladder: A case report and review of the literature. Urol J. 2011; 8(2): 155-8. http://doi.org/10.22037/uj.v8i2.1030.
7. Ahmed SA, Al-Shaheen AJ, Khudher ZS. Leiomyoma of the urinary bladder – a case report and review of literature. Ann Coll Med Mosul. 2018; 40(2): 74-6. http://doi.org/10.33899/mmed.2018.160006.
8. Khater N, Sakr G. Bladder leiomyoma: Presentation, evaluation and treatment. Arab J Urol. 2013; 11(1): 54-61. http://doi.org/10.1016/j.aju.2012.11.007.
9. Bai SW, Jung HJ, Jeon MJ et al. Leiomyomas of the female urethra and bladder: A report of five cases and review of the literature. Int Urogynecol J. 2007; 18(8): 913-7. http://doi.org/10.1007/s00192-006-0257-9.
10. Mendes JE, Ferreira AV, Coelho SA et al. Bladder leiomyoma. Urol Ann. 2017; 9(3): 275. http://doi.org/10.4103/UA.UA_164_16.
11. Rey Valzacchi GM, Pavan LI, Bourguignon GA et al. Transvesical laparoscopy for bladder leiomyoma excision: a novel surgical technique. Int Urogynecol J. 2020; 3-4. http://doi.org/10.1007/s00192-020-04557-1.
12. Cornella JL, Larson TR, Lee RA et al. Leiomyoma of the female urethra and bladder: Report of twenty-three patients and review of the literature. Am J Obstet Gynecol. 1997; 176(6): 1278-85. http://doi.org/10.1016/S0002-9378(97)70346-6.
13. Brunocilla E, Pultrone CV, Schiavina R et al. Renal leiomyoma: Case report and literature review. Can Urol Assoc J. 2012; 6(2): 87-90. http://doi.org/10.5489/cuaj.11159.
14. Goldman HB, McAchran SE, MacLennan GT. Leiomyoma of the Urethra and Bladder. J Urol. 2007; 177(5): 1890. http://doi.org/10.1016/j.juro.2007.02.017.
15. Li A, Zhang P, Zhang M et al. Transurethral enucleation of bladder leiomyoma: A series of six cases and review of the literature. Urol Int. 2019; 102(1): 69-76. http://doi.org/10.1159/000493150.
16. Yin FF, Wang N, Wang YL et al. Transvaginal Resection of a Bladder Leiomyoma Misdiagnosed with a Vaginal Mass: A Case Report and Literature Review. Case Rep Obstet Gynecol. 2015; 2015: 1-4. http://doi.org/10.1155/2015/981843.
17. Moawad M, Ben Ghashir N, Rustum Q et al. Rare case presentation of leiomyoma of bladder neck with tuberculous pelvic lymphadenitis in a young female patient. Urol Case Reports. 2021; 34: 101436. http://doi.org/10.1016/j.eucr.2020.101436.
18. Silva-Ramos M, Massó P, Versos R et al. Bladder leiomyoma. A pooled analysis of 90 cases. Actas Urol Esp. 2003; 27(8): 581-6. http://doi.org/10.1016/s0210-4806(03)72979-9.
19. Pramod SV, Safriadi F, Hernowo BS et al. A large bladder leiomyoma. Urol Case Rep. 2020; 32: 101211. http://doi.org/10.1016/j.eucr.2020.101211.
20. Xin J, Lai HP, Lin SK et al. Bladder leiomyoma presenting as dyspareunia: Case report and literature review. Med (United States). 2016; 95(28): 26-9. http://doi.org/10.1097/MD.0000000000003971.
21. Kim IY, Sadeghi F, Slawin KM. Dyspareunia: an unusual presentation of leiomyoma of the bladder. Rev Urol. 2001; 3(3): 152-4.
22. Bladder leiomyoma: Advantages of sonography over computed tomography. Urol Radiol. 1986; 8(1): 216-8. http://doi.org/10.1007/BF02924110.
23. Sundaram CP, Rawal A, Saltzman B. Characteristics of bladder leiomyoma as noted on magnetic resonance imaging. Urology. 1998; 52(6): 1142-3. http://doi.org/10.1016/S0090-4295(98)00333-1.
24. Andreassen BK, Aagnes B, Gislefoss R et al. Incidence and Survival of urothelial carcinoma of the urinary bladder in Norway 1981-2014. BMC Cancer. 2016; 16(1). http://doi.org/10.1186/s12885-016-2832-x .
25. Kabalin JN, Freiha FS, Niebel JD. Leiomyoma of bladder report of 2 cases and demonstration of ultrasonic appearance. Urology. 1990; 35(3): 210-2. http://doi.org/10.1016/0090-4295(90)80032-I .