Abstract
Mesane leiomyomları, tüm mesane neoplazmlarının %0.43' ünü oluşturan, benign karaktere sahip tümörlerdir. Patofizyolojisi tam olarak bilinmese de anormal endokrin değişikliklerle ilişkili olduğu düşünülmektedir. Genellikle orta yaşlı kadınlarda görülür ve semptomları tümörün boyutu ve yerleşim yeri ile ilişkili olarak farklılıklar gösterebilir. Tanıya yardımcı olması için radyolojik teknikler kullanılabilir ancak kesin tanı histopatolojik inceleme ile konulur. Çalışmamızda oldukça nadir görülen, intramural yerleşimli mesane leiomyomu bulunan iki olguyu klinik, radyolojik ve histopatolojik olarak inceledik. Her iki olguda alt üriner sistem semptomları nedeniyle kliniğimize başvurdu. Yapılan fizik muayene, laboratuvar ve radyolojik tetkikler sonucunda her iki olgununda mesanelerinde kitle tespit edildi. Hastalara tanısal amaçlı yapılan sistoskopik incelemede, intravezikal yerleşimli tümöral oluşum saptanmadı ve hastalara eş zamanlı pelvik eksplorasyon yapıldı. Eksplorasyonda mesanedeki kitlelerin intramural yerleşimli olduğu belirlendi ve parsiyel sistektomi uygulandı. Histopatolojik inceleme sonucunda iki olguya da mesane leiomyomu tanısı kondu. Olgularımızın, mesane leiomyomu bulunan hastaların ilerideki tanı ve tedavilerinin yönetiminde faydalı olacağını ve literatüre katkı sağlayacağını düşünüyoruz.
Supporting Institution
YOK
Project Number
YOK
Thanks
YOK
References
- Gómez Vegas A., Silmi Moyano A., Fernández Lucas C., et al. Leiomiomas de tracto urinario inferior [Leiomyoma of the lower urinary tract]. Arch Esp Urol. 1991;44(7):795-798.
- Pramod S.V., Safriadi F., Hernowo B.S., Dwiyana R.F., Ksatriapraja R.A. A large bladder leiomyoma. Urol Case Rep. 2020;32:101211. Published 2020 Apr 15. doi:10.1016/j.eucr.2020.101211
- He L., Li S., Zheng C., Wang C. Rare symptomatic bladder leiomyoma: case report and literature review. J Int Med Res. 2018;46(4):1678-1684.
- Kalathia J., Agrawal S., Chipde S.S., Agrawal R. Total endoscopic management of a large bladder leiomyoma. Urol Ann. 2015;7(4):527-529. doi:10.4103/0974-7796.164858
- Khater N., Sakr G. Bladder leiomyoma: Presentation, evaluation and treatment. Arab J Urol. 2013;11(1):54-61. doi:10.1016/j.aju.2012.11.007
- Goluboff E.T., O'Toole K., Sawczuk I.S. Leiomyoma of bladder: report of case and review of literature. Urology. 1994;43(2):238-241. doi:10.1016/0090-4295(94)90053-1
- Knoll L.D., Segura J.W., Scheithauer B.W. Leiomyoma of the bladder. J Urol. 1986;136(4):906-908. doi:10.1016/s0022-5347(17)45124-x
Abstract
Bladder leiomyomas are benign tumors that constitute 0,43% of all bladder neoplasms. Although their pathophysiology is not fully understood, they are thought to be associated with abnormal endocrine changes. They are usually seen in middle-aged women, and their symptoms may vary depending on the size and location of the tumor. Radiological techniques can be used to assist in the diagnosis, but the definitive diagnosis is made through histopathological examination. In our study, we examined two cases with intramural bladder leiomyoma, which is quite rare in the literature, clinically, radiologically, and histopathologically. Both patients presented to our clinic due to lower urinary tract symptoms. Upon physical examination, laboratory and radiological examinations, masses were detected in their bladders. Diagnostic cystoscopic examination did not reveal any intravesical tumor formation, and simultaneous pelvic exploration was performed. During the exploration, it was determined that the masses in the bladder were intramural, and partial cystectomy was performed. Histopathological examination confirmed the diagnosis of bladder leiomyoma for both cases. We believe that our cases will be useful in the management of the diagnosis and treatment of patients with bladder leiomyoma in the future and contribute to the literature.
Project Number
YOK
References
- Gómez Vegas A., Silmi Moyano A., Fernández Lucas C., et al. Leiomiomas de tracto urinario inferior [Leiomyoma of the lower urinary tract]. Arch Esp Urol. 1991;44(7):795-798.
- Pramod S.V., Safriadi F., Hernowo B.S., Dwiyana R.F., Ksatriapraja R.A. A large bladder leiomyoma. Urol Case Rep. 2020;32:101211. Published 2020 Apr 15. doi:10.1016/j.eucr.2020.101211
- He L., Li S., Zheng C., Wang C. Rare symptomatic bladder leiomyoma: case report and literature review. J Int Med Res. 2018;46(4):1678-1684.
- Kalathia J., Agrawal S., Chipde S.S., Agrawal R. Total endoscopic management of a large bladder leiomyoma. Urol Ann. 2015;7(4):527-529. doi:10.4103/0974-7796.164858
- Khater N., Sakr G. Bladder leiomyoma: Presentation, evaluation and treatment. Arab J Urol. 2013;11(1):54-61. doi:10.1016/j.aju.2012.11.007
- Goluboff E.T., O'Toole K., Sawczuk I.S. Leiomyoma of bladder: report of case and review of literature. Urology. 1994;43(2):238-241. doi:10.1016/0090-4295(94)90053-1
- Knoll L.D., Segura J.W., Scheithauer B.W. Leiomyoma of the bladder. J Urol. 1986;136(4):906-908. doi:10.1016/s0022-5347(17)45124-x
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Articles |
| Authors | |
| Project Number | YOK |
| Early Pub Date | August 1, 2023 |
| Publication Date | August 17, 2023 |
| Submission Date | February 22, 2023 |
| Acceptance Date | July 2, 2023 |
| Published in Issue | Year 2023 Volume: 16 Issue: 2 |
Cite
MEU Journal of Health Sciences Assoc was began to the publishing process in 2008 under the supervision of Assoc. Prof. Gönül Aslan, Editor-in-Chief, and affiliated to Mersin University Institute of Health Sciences. In March 2015, Prof. Dr. Caferi Tayyar Şaşmaz undertook the Editor-in Chief position and since then he has been in charge.
Publishing in three issues per year (April - August - December), it is a multisectoral refereed scientific journal. In addition to research articles, scientific articles such as reviews, case reports and letters to the editor are published in the journal. Our journal, which has been published via e-mail since its inception, has been published both online and in print. Following the Participation Agreement signed with TÜBİTAK-ULAKBİM Dergi Park in April 2015, it has started to accept and evaluate online publications.
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