Objective： Lymphangioma is a benign tumor representing a congenital malformation of the lymphatic channels. The cavernous lymphangioma of the bladder did not report before. Here we report 1 case of cavernous lymphang...Objective： Lymphangioma is a benign tumor representing a congenital malformation of the lymphatic channels. The cavernous lymphangioma of the bladder did not report before. Here we report 1 case of cavernous lymphangioma of the bladder in an adult female and review the literature in order to accumulate the experience of diagnosis and treatment for these diseases. Methods： In our case a 50-year-old woman presented with irritative voiding symptoms and had painless macroscopic hematuria at times. Cystoscopy showed a non-papillary tumor at apex vesicae and mucous membrane hyperaemia between the two orifices within the trigone. The pathologic diagnosis was cystitis glandularis with hyperplasia of urothelium and cavernous lymphangioma in lamina propria. Transurethral resection was performed and then bleomycin A5 was injected into lesion multipoint applying ureteral catheter with puncture needle. Results： Two months after operation the irritative voiding symptoms improved and the urine analysis was normal. Cystoscopy showed no residual tumor. Bleomycin A5 was injected into the lesion area again just like the operation before. All symptoms disappeared completely when the patient was examined a month later. There was no side effect after injection and no recurrence during the follow-up of 1 year. Conclusion： Lymphangioma of the bladder can be diagnosed exactly by cystoscopy and pathological examination. Surgery may be the best treatment. The bleomycin A5 intralesional sclerosant is also an effective therapy for the disease after surgical removal.展开更多
Introduction:Leiomyoma of urinary bladder is a rare entity and comprises 0.43%of all bladder tumors.Here we present our series of 3 cases and the related review of literature.Methods:3 cases of bladder leiomyoma prese...Introduction:Leiomyoma of urinary bladder is a rare entity and comprises 0.43%of all bladder tumors.Here we present our series of 3 cases and the related review of literature.Methods:3 cases of bladder leiomyoma presented over a period of 16 months in Osmania Medical College and Hospital.Detailed history was taken,physical examination,routine blood,urine and radiological investigations were done.Patients were treated by Trensurethral Resection(TUR)of the mass and histopathological analysis with Immunohistochemistry was done for all cases.Results:All 3 cases were females with mean age of 31.6 years.All cases were endovesical type,mass near bladder neck and presented with obstructive symptoms.Two cases presented with acute retention of urine.Radiological investigations in all patients suggested a possibility of leiomyoma and all cases had reduced urinary flow rates.Histopathology confirmed the diagnosis in all cases.No recurrence was found at one year of follow up.Conclusion:Leiomyoma of urinary bladder is a rare disorder which frequently occurs in middle aged females.Symptoms are related to its size and location,diagnosis is confirmed by histopathological analysis.Treatment is by surgery(mainly TUR).Prognosis of the disease is excellent.展开更多
文摘Objective： Lymphangioma is a benign tumor representing a congenital malformation of the lymphatic channels. The cavernous lymphangioma of the bladder did not report before. Here we report 1 case of cavernous lymphangioma of the bladder in an adult female and review the literature in order to accumulate the experience of diagnosis and treatment for these diseases. Methods： In our case a 50-year-old woman presented with irritative voiding symptoms and had painless macroscopic hematuria at times. Cystoscopy showed a non-papillary tumor at apex vesicae and mucous membrane hyperaemia between the two orifices within the trigone. The pathologic diagnosis was cystitis glandularis with hyperplasia of urothelium and cavernous lymphangioma in lamina propria. Transurethral resection was performed and then bleomycin A5 was injected into lesion multipoint applying ureteral catheter with puncture needle. Results： Two months after operation the irritative voiding symptoms improved and the urine analysis was normal. Cystoscopy showed no residual tumor. Bleomycin A5 was injected into the lesion area again just like the operation before. All symptoms disappeared completely when the patient was examined a month later. There was no side effect after injection and no recurrence during the follow-up of 1 year. Conclusion： Lymphangioma of the bladder can be diagnosed exactly by cystoscopy and pathological examination. Surgery may be the best treatment. The bleomycin A5 intralesional sclerosant is also an effective therapy for the disease after surgical removal.
文摘Introduction:Leiomyoma of urinary bladder is a rare entity and comprises 0.43%of all bladder tumors.Here we present our series of 3 cases and the related review of literature.Methods:3 cases of bladder leiomyoma presented over a period of 16 months in Osmania Medical College and Hospital.Detailed history was taken,physical examination,routine blood,urine and radiological investigations were done.Patients were treated by Trensurethral Resection(TUR)of the mass and histopathological analysis with Immunohistochemistry was done for all cases.Results:All 3 cases were females with mean age of 31.6 years.All cases were endovesical type,mass near bladder neck and presented with obstructive symptoms.Two cases presented with acute retention of urine.Radiological investigations in all patients suggested a possibility of leiomyoma and all cases had reduced urinary flow rates.Histopathology confirmed the diagnosis in all cases.No recurrence was found at one year of follow up.Conclusion:Leiomyoma of urinary bladder is a rare disorder which frequently occurs in middle aged females.Symptoms are related to its size and location,diagnosis is confirmed by histopathological analysis.Treatment is by surgery(mainly TUR).Prognosis of the disease is excellent.
