scholarly journals Urethral Leiomyoma: A Benign Smooth Muscle Tumor in Female Urethra

2019 ◽  
Vol 1 (2) ◽  
pp. 38-40
Author(s):  
Nazli Hameed ◽  
Binyamin Butt
Keyword(s):  
Smooth Muscle ◽  
Surgical Excision ◽  
Smooth Muscle Tumor ◽  
Postoperative Recovery ◽  
Reproductive Age ◽  
Radiological Investigation ◽  
Case Presentation ◽  
Urethral Leiomyoma ◽  
Rare Benign Tumor ◽  
Reproductive Age Group

Background: A benign smooth muscle fibroid was found in urethra. The tumor can be seen in females of reproductive age group with a peak incidence reported at 41 years. The rarity is supported by less than a hundred cases reported in literature. Case presentation: In this case report a 48 year old woman presented to us with incontinence and poor urinary stream and was found to have a urethral leiomyoma. The lesion was enucleated and dead space closed. Patients made a smooth postoperative recovery. Conclusion: Urethral leiomyoma is a rare benign tumor affecting females of reproductive years of life. The clinical diagnosis can be aided by endoscopic or radiological investigation. Surgical excision is the preferred treatment with a low Risk of recurrence.

scholarly journals Umbilical endometriosis along with peritoneal endometriosis: a case report

2019 ◽  
Vol 8 (5) ◽  
pp. 2106
Author(s):  
T. Ramani Devi ◽  
C. Archana Devi ◽  
C. Aparna Devi
Keyword(s):  
Surgical Excision ◽  
Reproductive Age ◽  
Rare Entity ◽  
Pelvic Endometriosis ◽  
The Past ◽  
Peritoneal Endometriosis ◽  
Laparoscopic Sterilization ◽  
Reproductive Age Group ◽  
Umbilical Endometriosis

Incidence of endometriosis is around 10 to 15% in women of reproductive age group. Umbilical endometriosis is a very rare entity. Extra genital endometriosis accounts to 3% of endometriosis. Incidence of umbilical endometriosis is 0.5%-4% of extra genital endometriosis. 30 years old multi gravida was referred to our hospital with c/o periodic bleeding from the umbilicus for the past 3 months. She was also having dysmenorrhoea for about 3 months. On examination, patient had a small bluish nodule in the umbilicus around 1.5x1.2 cm in size. Clinically there was suspicion of pelvic endometriosis as the uterus was retroverted and fixed. CT abdomen showed a small hypo-echoeic area in the umbilicus and uterus was adenomyotic with normal ovaries. Patient was given the option of laparoscopy and excision of umbilicus, as there was suspicion of peritoneal endometriosis and the patient also insisted upon laparoscopic sterilization. Laparoscopy showed early peritoneal endometriosis with pelvic adhesions and the same adhesiolysis was done along with cauterization of endometriosis. Sterilization was also done as per the patient’s request. Umbilical excision and layer closure was done. Umbilical endometriosis is a rare entity. This patient had associated early pelvic endometriosis. Umbilical endometriosis could be secondary to the lympho vascular spread from the pelvic endometriosis or primary umbilical endometriosis. History, clinical and imaging were pointing towards umbilical endometriosis. Surgical excision of umbilical endometriosis and cauterisation of early pelvic endometriosis were done. Patient needs follow up. Umbilical endometriosis may be primary or secondary which needs total excision and follow up.

Pseudoangiomatous Stromal Hyperplasia: An Overview

2010 ◽  
Vol 134 (7) ◽  
pp. 1070-1074 ◽  
Author(s):  
Renu K. Virk ◽  
Ashraf Khan
Keyword(s):  
Specific Treatment ◽  
Progesterone Receptors ◽  
Surgical Excision ◽  
Reproductive Age ◽  
Minimal Risk ◽  
Pseudoangiomatous Stromal Hyperplasia ◽  
Malignant Lesions ◽  
Collagenous Stroma ◽  
Cut Surface ◽  
Reproductive Age Group

Abstract Pseudoangiomatous stromal hyperplasia (PASH) of the breast is a benign, proliferative mesenchymal lesion with possible hormonal etiology. It typically affects women in the reproductive age group. Pseudoangiomatous stromal hyperplasia is frequently an incidental histologic finding in breast biopsies performed for other benign or malignant lesions. Rarely, it can present as a firm, painless breast mass, which has been referred to as nodular or tumorous PASH. Grossly, tumorous PASH is a well-circumscribed, firm, rubbery mass with solid, homogenous, gray-white cut surface. On histologic examination, it is characterized by the presence of open slitlike spaces in dense collagenous stroma. The spaces are lined by a discontinuous layer of flat, spindle-shaped myofibroblasts with bland nuclei. The spindle cells express progesterone receptors and are positive for vimentin, actin, and CD34. The most important differential diagnosis on histopathology is angiosarcoma. Pseudoangiomatous stromal hyperplasia discovered incidentally does not require any additional specific treatment. Tumorous PASH is treated by local surgical excision with clear margins and the prognosis is excellent, with minimal risk of recurrence after adequate surgical excision.

scholarly journals Review of the pathophysiology, diagnosis, and therapy of vulvar leiomyoma, a rare gynecological tumor

2017 ◽  
Vol 46 (2) ◽  
pp. 663-674 ◽  
Author(s):  
Chao Sun ◽  
Junkai Zou ◽  
Qing Wang ◽  
Qi Wang ◽  
Lu Han ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Smooth Muscle ◽  
English Language ◽  
External Genitalia ◽  
Surgical Excision ◽  
Smooth Muscle Tumor ◽  
Final Diagnosis ◽  
Diagnosis And Therapy ◽  
Long Term Follow Up ◽  
Muscle Tumor

The objective of this article is to discuss the pathophysiology, diagnosis, differential diagnosis, and therapy of vulvar leiomyoma. We performed a review of all English-language reports of vulvar leiomyoma published in PubMed from 1978 to 2015 using the following search terms: “vulval leiomyoma,” “vulvar leiomyoma,” “vulval smooth muscle tumor,” and “external genitalia smooth muscle tumor.” Vulvar leiomyomas, which are rare benign monoclonal tumors, most commonly occur in the fourth and fifth decades of life. The genetics of vulvar leiomyoma remain undefined. Three principal histological patterns have been identified: spindled, epithelioid, and myxoid. Imaging tests such as ultrasound, endoscopic ultrasound, and magnetic resonance imaging are used in diagnosis. Surgical excision is the only curative treatment for vulvar leiomyomas. Establishment of a full differential diagnosis list and correct final diagnosis before surgery are essential for optimal clinical management. Although recurrence of vulvar leiomyoma is extremely rare, long-term follow-up of all cases is advisable.

scholarly journals Scrotal leiomyoma: a rare cause of scrotal swelling

2020 ◽  
Vol 26 (1) ◽  
Author(s):  
P. A. Egharevba ◽  
O. Omoseebi ◽  
A. I. Okunlola ◽  
O. A. Omisanjo
Keyword(s):  
Smooth Muscle ◽  
Spermatic Cord ◽  
Surgical Excision ◽  
Case Presentation ◽  
Scrotal Mass ◽  
History Of ◽  
Scrotal Swelling ◽  
Vascular Structures ◽  
The Right

Abstract Background Leiomyomas are benign smooth muscle tumours predominantly found in the uterus. Rarely, they may be located in the ovaries, scrotum, bladder, lungs, vascular structures and spermatic cord. Case presentation We managed a 39-year-old man who presented with a year history of progressive right-sided hemiscrotal swelling. The right scrotal mass was excised, and histology showed scrotal leiomyoma. Conclusion Scrotal leiomyoma is very rare and challenging to diagnose pre-operatively as a cause of scrotal swelling, but it is amenable to surgical excision.

scholarly journals Vulval aggressive angiomyxoma – a rare entity

2021 ◽  
Vol 11 (4) ◽  
pp. 100-102
Author(s):  
Jayakar Thomas
Keyword(s):  
Surgical Excision ◽  
Reproductive Age ◽  
Soft Tissue Tumour ◽  
Aggressive Angiomyxoma ◽  
Age Group ◽  
Rare Entity ◽  
Women Of Reproductive Age ◽  
Tissue Tumour ◽  
The Right ◽  
Reproductive Age Group

Aggressive Angiomyxoma is a very rare, distinctive, locally invasive soft tissue tumour, that occurs most commonly in the perineum, pelvis, vulva and vagina. It is seen mostly in women of reproductive age group. It has a tendency for recurrence locally, treatment being surgical excision. We hereby describe a case of 38-year-old patient with a pedunculated growth on the right labium majora.

scholarly journals Leiomyoma of the Female Urethra—A Rare Tumor: Case Report and Review of the Literature

2012 ◽  
Vol 2012 ◽  
pp. 1-2 ◽  
Author(s):  
Mrinal Pahwa ◽  
Yusuf Saifee ◽  
Archna R. Pahwa ◽  
Manu Gupta
Keyword(s):  
Smooth Muscle ◽  
Case Report ◽  
Normal Tissue ◽  
Smooth Muscle Tumor ◽  
Rare Tumor ◽  
Review Of The Literature ◽  
Female Urethra ◽  
Urethral Leiomyoma ◽  
Muscle Tumor

Leiomyoma is a benign smooth muscle tumor which is rarely found in urethra. Only a handful of cases have been reported in the literature. We hereby report a case of urethral leiomyoma in a twenty-seven-year-old female who presented with intermittent hematuria. Mass was completely excised with a rim of normal tissue. Patient remained asymptomatic with no evidence of recurrence in followup.

scholarly journals Menstruating primary umbilicus cutaneous endometriosis: A case report and review of literature

2021 ◽  
Vol 4 (2) ◽  
pp. 069-071
Author(s):  
Ade-Ojo Idowu Pius ◽  
Ipinnimo Oluwadare Martins
Keyword(s):  
Semen Analysis ◽  
Surgical Excision ◽  
Reproductive Age ◽  
Review Of Literature ◽  
Normal Range ◽  
History Of ◽  
Cutaneous Endometriosis ◽  
Cutaneous Nodule ◽  
One Year ◽  
Reproductive Age Group

Primary umbilical cutaneous endometriosis is a rare umbilical endometrioma that affects women who are within the reproductive age group. It may be associated with infertility and severe dysmenorrhea and can be difficult to diagnosed in an asymptomatic patient. We report a case of a 38-year-old nulliparous with seven years history of infertility and severe dysmenorrhea. Her hormonal profile assay and hysterosalpingogram results were normal while her husband semen analysis was also within normal range. She complained of monthly bleeding from a painful rubbery multilobate cutaneous nodule on the umbilicus of one year duration. She was diagnosed of cutaneous endometriosis. The diagnosis was confirmed histologically and she had surgical excision with good outcome.

scholarly journals LEIOMYOME DE LURETREUNE CAUSE RARE DE DYSURIE CHEZ LA FEMME : A PROPOS DUN CAS URETHRAL LEIOMYOMA A RARE CAUSE OF DYSURIA IN WOMEN: A CASE REPORT

2021 ◽  
Vol 9 (09) ◽  
pp. 262-265
Author(s):  
R. Ait Ouali ◽  
◽  
M. Aarab ◽  
L. Sidi Abdella ◽  
MA. Lakmichi ◽  
...  
Keyword(s):  
Smooth Muscle ◽  
Case Report ◽  
Clinical Assessment ◽  
White Woman ◽  
Benign Tumor ◽  
Middle Age ◽  
Surgical Excision ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Urethral Leiomyoma

Introduction: The leiomyoma of the urethra is rare. It is a benign mesenchymal tumor that affects the smooth muscle of the urethra. These tumors often occur in women of childbearing age the middle age of their appearance is about 41 years old. Case report: Here we report the case of a 37 years old white woman with progressive dysuria with nodule sensation in the vagina Conclusions: Leiomyoma is a benign tumor, common in the uterus but very rare in the urethra. His diagnosis is rarely mentioned. The para-clinical assessment specifies the characteristics, the reports of the tumor, and directs on its nature. Open or endoscopic surgical excision allows both the diagnosis and the treatment of symptoms.

scholarly journals Female paraurethral leiomyoma: a case report

2021 ◽  
Vol 27 (1) ◽  
Author(s):  
Farhat Mazhari ◽  
Roopam Singh ◽  
Kirti Anima Kerketta ◽  
Nilay Pathak ◽  
Neha Singh
Keyword(s):  
Histopathological Examination ◽  
Imaging Techniques ◽  
Surgical Excision ◽  
Reproductive Age ◽  
Mri Imaging ◽  
Diagnostic Dilemma ◽  
Palpable Mass ◽  
Dependent Growth ◽  
Paraurethral Leiomyoma ◽  
Reproductive Age Group

Abstract Background Leiomyoma is a benign fibromuscular neoplasm originating from smooth muscle cells. Paraurethral leiomyoma is an extremely rare, benign, hormone-dependent growth from the mesenchymal cells in paraurethral space of female urethra. They usually appear in the reproductive age group women, mean age of presentation being approximately 41 years. Case presentation A 48-year-old woman presented with palpable mass at vagina and weak urinary stream. She underwent clinical examination and CT scan and MRI imaging followed by transvaginal excision of the mass. Histopathological examination confirmed paraurethral leiomyoma. Conclusions Paraurethral leiomyoma owing to its rare incidence poses a diagnostic dilemma for the gynecologists. Radiological imaging techniques help in diagnosis. Surgical excision via vaginal route is the treatment of choice. Diagnosis is confirmed by histopathology.

scholarly journals Multiple Oral Leiomyomas in an Infant: A Rare Case

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Efraín Alvarez ◽  
María P. Laberry ◽  
Carlos M. Ardila
Keyword(s):  
Smooth Muscle ◽  
Gastrointestinal Tract ◽  
Oral Cavity ◽  
Rare Case ◽  
Surgical Excision ◽  
Smooth Muscle Tumor ◽  
Review Of The Literature ◽  
Histological Studies ◽  
Floor Of The Mouth ◽  
Muscle Tumor

Oral leiomyoma is a benign smooth muscle tumor that occurs most frequently in the uterine myometrium, gastrointestinal tract, and skin. Incidence in the oral cavity is considered uncommon. Most cases are reported in adults, with very few cases described in children. A rare case of multiple leiomyomas localized on the tongue, cheek, and floor of the mouth of an 8-month-old baby is reported. The diagnosis of leiomyoma in the oral cavity is mainly determined by histological studies; however, immunohistochemical tests are recommended in order to differentiate from other tumors. Surgical excision of the lesion appears to be the best treatment option. A review of the literature did not reveal any previously reported case of multiple oral leiomyomas.

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