Conservative management of a bladder leiomyosarcoma in a 43-year-old patient

  • Aikaterini Anastasiou | aikatianast@gmail.com 1st University Urology Clinic, Laiko Hospital, Athens, Greece.
  • Ioannis Katafigiotis 1st University Urology Clinic, Laiko Hospital, Athens, Greece.
  • Spyridon Skoufias 1st University Urology Clinic, Laiko Hospital, Athens, Greece.
  • Ioannis Anastasiou 1st University Urology Clinic, Laiko Hospital, Athens, Greece.
  • Constantinos Constantinides 1st University Urology Clinic, Laiko Hospital, Athens, Greece.

Abstract

Leiomyosarcoma of the bladder is an aggressive and rare tumor, with less than 200 reported cases. The treatment of bladder leiomyosarcoma is controversial although in most cases an aggressive surgical therapy is preferred. Usually, a radical cystectomy is performed, as it is considered to have a better disease-specific survival rate. A 43-year-old man presented to our Urology Department with painless macroscopic hematuria. He was submitted to transurethral resection of the tumor. The transurethral resection was complete and revealed only this small single lesion and the rest of the bladder was normal with no other lesion or suspicious lesion. The final histology revealed leiomyosarcoma of the bladder. Due to his age and the aggressiveness of the tumor after a thorough and detailed discussion with the patient a conservative management with aggressive follow up was decided. The patient a year after the diagnosis is in perfect condition without sign of a recurrence or metastastes.

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Published
2018-03-31
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Issue
Section
Case Reports - Oncology
Keywords:
Bladder leiomyosarcoma, Bladder carcinoma, Rare bladder tumor, Non urothelial bladder cancer
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How to Cite
Anastasiou, A., Katafigiotis, I., Skoufias, S., Anastasiou, I., & Constantinides, C. (2018). Conservative management of a bladder leiomyosarcoma in a 43-year-old patient. Archivio Italiano Di Urologia E Andrologia, 90(1), 70-71. https://doi.org/10.4081/aiua.2018.1.70

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