Case series – Prioritizing bladder-sparing treatments in patients with urinary tract leiomyoma: A report of three cases and updated literature review

Authors

  • Shannon McNall New York Medical College, Valhalla, NY
  • Terry Park New York Medical College, Valhalla, NY
  • Nikhil Gopal Urologic Oncology Branch, National Cancer Institute, Bethesda, MD
  • Evan Spencer Department of Urology, Westchester Medical Center, Valhalla, NY
  • Lakshmisree Akhila Vemulakonda Department of Pathology, Westchester Medical Center, Valhalla, NY
  • Muhammad Choudhury Department of Urology, Westchester Medical Cancer, Valhalla, NY
  • Nathan Colin Wong Department of Urology, Westchester Medical Center, Valhalla, NY

DOI:

https://doi.org/10.5489/cuaj.7745

Keywords:

leiomyoma, ureteral neoplasm, bladder neoplasm, benign bladder pathology

Abstract

Urinary tract leiomyomas are rare, benign mesenchymal tumors that are traditionally treated with complete surgical excision. We present three cases of urinary tract leiomyoma — two located in the bladder and one in the ureter. Both bladder leiomyomas were treated with transurethral resection of bladder tumor (TURBT) with no evidence of recurrent disease, while the upper tract leiomyoma was managed with surveillance by patient preference, which to our knowledge, has not been previously described. The ureteral leiomyoma has remained stable at five years followup from initial diagnosis. Given the benign nature of leiomyomas and the overall low recurrence rate reported in the literature, bladder-sparing options should be emphasized when feasible, with active surveillance potentially applicable for highly select patients.

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Published

2022-06-09

How to Cite

McNall, S., Park, T., Gopal, N., Spencer, E., Vemulakonda, L. A., Choudhury, M., & Wong, N. C. (2022). Case series – Prioritizing bladder-sparing treatments in patients with urinary tract leiomyoma: A report of three cases and updated literature review. Canadian Urological Association Journal, 16(11). https://doi.org/10.5489/cuaj.7745

Issue

Section

Case Series