PMC3271449_01
Pelvic ultrasound showing a well-defined hypoechoic lesion noted at the anterior wall of the urinary bladder measuring 1.4 x 1.2 x 1.2 cm
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F1
Although partially filled, the bladder revealed a mass [Figure 1].
Pelvic computed tomography (CT) scans demonstrate bladder wall enhancing soft tissue mass measuring 1.8 x 1.3 x 1.3 cm, which has minimal stranding around it. No invasion to the adjacent structures
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F2
Computed Tomography (CT) scan confirmed the presence of the bladder tumor without any evidence of distant metastasis [Figure 2].
Microscopic examination of the mass showed well demarcated smooth muscle tumor
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F3
Microscopic description revealed typical features of Leiomyoma, positive for Desmin and negative HMB45 and CD117 [Figures 3 and 4].
Immunohistochemical examination of the tumor was positive with Desmin immunostaining
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F4
Microscopic description revealed typical features of Leiomyoma, positive for Desmin and negative HMB45 and CD117 [Figures 3 and 4].
Pelvic ultrasound showing the urinary bladder free of any masses
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F5
During follow-up, the patient was free of recurrence, documented on ultrasound and CT scan done at 3 months and 12 months, respectively [Figures 5 and 6].
Pelvic CT scan reveal the urinary bladder free of any masses
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F6
During follow-up, the patient was free of recurrence, documented on ultrasound and CT scan done at 3 months and 12 months, respectively [Figures 5 and 6].