Indian Journal of Urology
CASE REPORT
Year
: 2003  |  Volume : 19  |  Issue : 2  |  Page : 169--170

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




How to cite this article:
Pal DK. Leiomyoblastoma of the urethra.Indian J Urol 2003;19:169-170


How to cite this URL:
Pal DK. Leiomyoblastoma of the urethra. Indian J Urol [serial online] 2003 [cited 2021 Jan 17 ];19:169-170
Available from: https://www.indianjurol.com/text.asp?2003/19/2/169/37158


Full Text

 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

1Parashar A, Philipraj, Sasidharan K. Female urethral leiomyoma - a case report. Ind J Urol 2000; 16: 162-163.
2James W. Ballard CA, Bergman A. A case of epitheloid leiomyoma (leiomyomablastoma) of the urethra. Urol Int 1995; 54: 179-180.
3Leiclinger RJ, Das S. Leiomyoma of the female urethra: A report of two cases. J Reprod Med 1995; 40: 229-231.
4Mira JL, Fan G. Leiomyoma of the male urethra: A case report and review of the literature. Arch Path Lab Med 2000; 124: 302-303.