Vaginal paraurethral leiomyoma

Smita Anand Bijwe, Anil T. Deshmukh, Srishti Tanya

Abstract


Leiomyomas of the vagina are uncommon soft tissue tumors. Only a few cases are reported in medical literature. It is usually seen between 20-80 years of age. We report a case of 30-year-old woman with paraurethral leiomyoma. Leiomyomas in this location should be differentiated from urethral diverticula and vaginal cysts. Complete surgical excision should be the choice of treatment. Excision usually has good prognosis and rarely recurs. 


Keywords


Leiomyoma, Vagina, Paraurethral, Surgery

Full Text:

PDF

References


Leon Speroff, Marc A. Fritz. Leiomyomas. In: Leon Speroff, Marc A. Fritz, eds. Clinical Gynecologic Endocrinology and Infertility. 8th ed. Philadelphia: Lippincott, Williams and Wilkins; 2011: 148-480.

Fasih N, Prasad Shanbhogue AK, Macdonald DB, Fraser-Hill MA, Papadatos D, Kielar AZ, et al. Leiomyomas beyond the uterus: unusual locations, rare manifestations. Radiographics. 2008 Nov-Dec;28(7):1931-48.

Young SB, Rose PG, Reuter KL. Vaginal fibromyomata: two cases with pre-operative assessment, resection and reconstruction. Obstet Gynaecol. 1991;78:992-4.

Xiaoping Luo, Nasser Chegini. The expression and potential regulatory function of microRNAs in the pathogenesis of leiomyoma. Semin Reprod Med. 2008 Nov;26(6):500-14.

Chong KM, Chuang J, Tsai YL, Hwang JL. A rapidly growing paraurethral myoma with profuse bleeding from a mucosal vessel: report of a case. Gynaecol Obstet Invest. 2006;61(2):87-9.

Perugia G1, Ciccariello M, Pirolli F, Chinazzi A, Teodonio S, Borgoni G, et al. Paraurethral leiomyoma. Urology. 2012 Apr;79(4):e51-2.

Bruschini H, Truzzi JC, Simonetti R, Mesquita R, Delcelo R, Szenfeld J, et al. Paraurethral leiomyoma in a female causing urinary obstruction. Int Urogynaecol J Pelvic Floor Dysfunct. 2006 May;17(3):286-9.

Pushkar’ DIu, Anisimov AV. Paraurethral cyst and/or urethral diverticulum--differential diagnosis. Urologiia. 2007 Jul-Aug;(4):49-54.

Michele Scialpi, Giuseppe Benagiano, Sara Frati, Irene Piscioli, Francesco Barberini. Magnetic resonance imaging features of myxoid leiomyoma of the vagina: a case report. Indian J Radiol Imaging. 2009 Aug;19(3):238-41.

Hubert KC, Remer EM, Rackley RR, Goldman HB. Clinical and magnetic resonance imaging characteristics of vaginal and paraurethralleiomyomas: can they be diagnosed before surgery? BJU Int. 2010 Jun;105(12):1686-8.

Young SB, Rose PG, Reuter KL. Vaginal fibromyomata: two cases with pre-operative assessment, resection and reconstruction. Obstet Gynaecol. 1991; 78:992-4

Kuramoto T, Nishizawa S, Mori T, Iba A, Fuji R, Nanpou Y, et al. Giant paraurethral leiomyoma in the female: a case report. Hinyokika Kiyo. 2008 Oct;54(10):677-80.

Bapuraj JR, Ojili V, Singh SK, Prasad GR, Khandelwal N, Suri S. Preoperative embolization of a large vaginal leiomyoma: report of a case and review of the literature. Australas Radiol. 2006 Apr;50(2):179-82.

Shen YH, Yang K. Recurrent huge leiomyoma of the urethra in a female patient: a case report. Oncol Lett. 2014 Jun;7(6):1933-5.