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CASE REPORT |
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| Year : 2003 | Volume
: 19
| Issue : 2 | Page : 169-170 |
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Leiomyoblastoma of the urethra
Dilip Kumar Pal
Department of Urology, Bankura Sammilani Medical College, Bankura, India
Correspondence Address:
Dilip Kumar Pal
A-30, Govt. Housing Estate, Govindanagar, Side-B, Bankura - 722 102
India
 Source of Support: None, Conflict of Interest: None  | Check |
How to cite this article:
Pal DK. Leiomyoblastoma of the urethra. Indian J Urol 2003;19:169-70 |
 Introduction | |  |
Leiomyoma of the female urethra is a very rare condition. [1],[2] Approximately 40 cases have been reported in the literature. [2],[3] We report a case of leiomyoblastoma (Epitheloid leiomyoma) of the female urethra which usually occurs in the stomach or uterus, but seldom in the urethra.
| Case Report | | |
A 28-year-old married woman presented with dysparunia due to a slow-growing mass for last two years, gradually protruding out of external genitalia. Physical examination revealed a mass arising from the upper lip of the urethra and hanging outside the vagina [Figure - 1]. External urethral meatus was free from the mass. She did not have any voiding difficulty or haematuria.
Routine haematological and biochemical investigations were within normal limits. Cystourethroscopy suggested a mass arising near the external urethral meatus and the remaining urethra and bladder was normal. FNAC confirmed a benign tumour arising from smooth muscle. The mass was excised totally putting a catheter in the urethra.
Excised specimen was of 6 cm x 6 cm x 4 cm with a fleshy homogeneous cut surface. Histopathological examination showed a leiomyoblastoma [Figure - 2]. The patient is asymptomatic without recurrence at one-year follow-up.
| Comments | | |
Leiomyoma of the urethra mainly occurs in the female, though a few reports of male urethral leiomyoma have been reported. [4] Leiomyoblastoma in the urethra is very rare condition and only few cases have been reported. [2]
Usually the patient presents with a mass, dysparunia and dysuria. [1],[2],[3] Sometimes the diagnosis may be confused with urethral caruncle. [1] Local surgical excision or transurethral ablation is the recommended treatment. [1],[2] Histopathological examination confirms the diagnosis.
| References | | |
| 1. | Parashar A, Philipraj, Sasidharan K. Female urethral leiomyoma - a case report. Ind J Urol 2000; 16: 162-163.  |
| 2. | James W. Ballard CA, Bergman A. A case of epitheloid leiomyoma (leiomyomablastoma) of the urethra. Urol Int 1995; 54: 179-180. |
| 3. | Leiclinger RJ, Das S. Leiomyoma of the female urethra: A report of two cases. J Reprod Med 1995; 40: 229-231. |
| 4. | Mira JL, Fan G. Leiomyoma of the male urethra: A case report and review of the literature. Arch Path Lab Med 2000; 124: 302-303. [PUBMED] [FULLTEXT] |
[Figure - 1], [Figure - 2]
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