A leiomyoma presenting as an exophytic periurethral mass: a case report and review of the literature.
Periurethral masses in females are rarely observed, although they can occur anywhere along the genitourinary tract. They may be detected on physical examination or present with symptoms such as vaginal swelling, bladder outlet obstruction, vaginal bleeding, hematuria, or urinary tract infection. We report a sexually inactive, 27-year-old woman with an exophytic, fimbria-like periurethral mass. The benign nature of the lesion was suspected on the basis of the findings of magnetic resonance imaging. Surgical enucleation was performed. The microscopic examination revealed a urethral leiomyoma. Immunohistochemical study confirmed a leiomyoma with positive staining for smooth muscle actin and negative staining for S-100.
Hwang
Jong Ha
JH
Department of Obstetrics and Gynecology, Korea University College of Medicine, Guro-gu, Seoul, Korea.
Lee
Jae Kwan
JK
Oh
Min Jeong
MJ
Lee
Nak Woo
NW
Hur
Jun Young
JY
Lee
Kyu Wan
KW
D000328:Adult; D004715:Endometriosis / Q000150:complications / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D007889:Leiomyoma / Q000150:complications / Q000473:pathology* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D010048:Ovarian Cysts / Q000150:complications / Q000473:pathology* / Q000601:surgery; D014523:Urethral Neoplasms / Q000209:etiology / Q000473:pathology* / Q000601:surgery