Hwang JH, Lee JK, Oh MJ, Lee NW, Hur JY, Lee KW. A leiomyoma presenting as an exophytic periurethral mass: a case report and review of the literature.
J Minim Invasive Gynecol 2009;
16:507-9. [PMID:
19573833 DOI:
10.1016/j.jmig.2009.04.012]
[Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2009] [Revised: 04/22/2009] [Accepted: 04/26/2009] [Indexed: 11/26/2022]
Abstract
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.
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