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

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

Keywords

Bladder leiomyosarcoma; Bladder carcinoma; Rare bladder tumor; Non urothelial bladder cancer

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Submitted: 2017-10-13 17:13:44
Published: 2018-03-31 00:00:00
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Copyright (c) 2018 AIKATERINI ANASTASIOU, Ioannis Katafigiotis, Spyridon Skoufias, Ioannis Anastasiou, Constantinos Constantinides

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