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Case Reports
. 2025 Apr 21;25(1):97.
doi: 10.1186/s12894-025-01774-y.

Transurethral resection of a giant bladder leiomyoma

Dihao Deng #  1 , Jiaying Li #  2 , Junhang Luo  2 , Hui Liang  3
Affiliations
Case Reports

Transurethral resection of a giant bladder leiomyoma

Dihao Deng et al. BMC Urol. .

Abstract

Background: Bladder leiomyomas are benign neoplasms of the bladder. Giant bladder leiomyomas are rare and conventionally treated by partial cystectomy.

Case presentation: We present the case of a 51-year-old woman diagnosed with a bladder leiomyoma measuring 8.0 cm in diameter. The tumor was successfully removed through transurethral resection of bladder tumors (TURBT), which was completely recorded on video.

Conclusion: This case underscores the successful removal of a giant bladder leiomyoma by TURBT, resulting in a good prognosis. It highlights the potential for minimally invasive management strategies for benign neoplasms of the bladder.

Take-home information: This case demonstrates that endoscopic resection of a giant bladder tumor is safe and feasible, offering a minimally invasive alternative for select patients.

Clinical trial number: Not applicable.

Keywords: Bladder leiomyoma; TURBT; Video documentation.

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Conflict of interest statement

Declarations. Ethics approval and consent to participate: Per the guidelines of our institution, no formal ethical approval or participant consent is necessary for a single case report if it contains no patientidentifying information. However, informed consent for the publication of this case report and associated images was obtained from the patient, and it can be requested from the corresponding author if needed. Consent for publication: Written informed consent for publication was obtained from the patient. Competing interests: The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
(A) Pre-operative contrast-enhanced pelvic MRI T2 sagittal, dotted arrow indicates the mass. (B) Pre-operative contrast-enhanced pelvic MRI T2 axial, dotted arrow indicates the mass. (C) Post-operative contrast-enhanced pelvic MRI T2 sagittal. (D) Post-operative contrast-enhanced pelvic MRI T2 axial
Fig. 2
Fig. 2
(A) Cystoscopy revealed a well circumcised spherical lesion of about 8.0 cm in diameter (white arrow). (B) The enucleated tumor was removed by the morcellator system
Fig. 3
Fig. 3
H&E stain of the mass showed epithelioid and bland spindle cells with eosinophilic cytoplasm. (A) Immunohistochemistry showed strong expression of Desmin in tumor cells
See this image and copyright information in PMC

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