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Recurrent atypical leiomyoma in bladder trigone,confused with uterine fibroids:A case report

World Journal of Clinical Cases 2022年第29期10卷 10728-10734页

作者： jeonghwa song Heekyoung song Yong-Wook Kim Department of Obstetrics and Gynecology College of MedicineThe Catholic University of KoreaIncheon St.Mary’s HospitalIncheon 21431South Korea

BACKGROUND Tumors originating from the posterior bladder wall can be challenging to diagnose because they may mimic a mass from the uterine *** leiomyoma of the bladder trigone is extremely rare,with few reported cases,and requires caution during surgery to avoid damage to the adjacent *** surgery and confirmational pathology are essential to assess whether the tumor is malignant and relieve clinical ***,we describe a case of recurrent leiomyoma with focal atypia in the bladder *** SUMMARY A 29-year-old woman with a uterine fibroid incidentally found at a regular checkup was referred to our *** on magnetic resonance imaging,either urinary bladder leiomyoma or protrusion of pedunculated uterine cervical fibroid into the bladder was *** leiomyoma in the trigone of the bladder was completely excised by laparotomy,and the patient was discharged without ***-up outpatient ultrasonography identified tumor recurrence after four *** focal atypia was identified previously,laparotomy was performed to confirm the pathology.A round solid mass was resected from the posterior bladder wall without injuring either ureteric *** tumor was pathologically diagnosed as a leiomyoma without ***-year follow-up ultrasonography has revealed no *** Atypical leiomyoma in bladder trigone is rare and could be easily mistaken for fibroid in the uterine *** confirm histopathology,surgical excision is mandatory and regular follow-up is necessary to detect recurrence.

关键词： Case report Cervix uteri Leiomyoma Recurrence Trigone Urinary bladder

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