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Case Reports in Urology
Volume 2012 (2012), Article ID 759150, 3 pages
http://dx.doi.org/10.1155/2012/759150
Case Report

Epitheliod Leiomyoma of the Bladder: An Unusual Case of Irritative and Obstructive Voiding Symptoms

1Department of Urology, Tajrish Hospital, Shaheed Beheshti University of Medical Science, Tehran 19395-4763, Iran
2Department of Gynecology, Tajrish Hospital, Shaheed Beheshti University of Medical Science, Tehran 19395-4763, Iran
3Department of Radiology, Tajrish Hospital, Shaheed Beheshti University of Medical Science, Tehran 19395-4763, Iran

Received 4 March 2012; Accepted 17 April 2012

Academic Editors: P. H. Chiang and L. Henningsohn

Copyright © 2012 Ali Kaviani et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Epitheloid leiomyoma is a very rare subtype of benign mesothelial tumors of the bladder. A 46-year-old female patient presented to our hospital with prolonged dysuria, frequency, and recurrent urinary tract infections. Bimanual examination revealed a mobile, round mass in bladder. There was a round hyperdense intravesical mass near bladder neck in computed tomography (CT) scan that was compatible with her magnetic resonance imaging (MRI). A well defined 3 × 4 centimeter mass was seen in superolateral part of bladder neck during cystoscopy. The patient underwent partial cystectomy and histopathologic findings confirmed the diagnosis of epithelioid leiomyoma. The patient’s followup was uneventful in a period of 2 years. Size and anatomic location of this tumor were major factors that affect on treatment.