Recurrent atypical leiomyoma in bladder trigone, confused with uterine fibroids: A case report

Figure 1 Magnetic resonance imaging findings. A: Initial Magnetic resonance imaging (MRI) finding. Sagittal T2-weighted MR image shows a 6 cm × 4.6 cm mass between the uterine cervix and urinary bladder; B: MRI finding after recurrence. Sagittal T2-weighted MR image shows a 3.8 cm × 3 cm sized homogeneous mass arising from posterior wall of the bladder.

Figure 2 Initial pathological findings. A: Gross image; B: Leiomyoma with bizarre nuclei and moderate cytologic atypia cells (hematoxylin-eosin stain, scale bar = 50 µm).

Figure 3 Cystoscopic and intraoperative findings after recurrence. A: Cystoscopic image (arrow: Protruding mass); B: Intraoperative finding (protruding mass in the bladder).

Figure 4 Pathological findings after recurrence. A: Gross image; B: Leiomyoma without atypia (hematoxylin-eosin stain, scale bar = 100 µm).