Leiomyoma of the Seminal Vesicle: A Rare Case
A 78-year old male presented with gradually increasing symptoms of straining at micturition, increased frequency, hesitancy and terminal dribbling .No history of hematuria, or significant loss of weight, or low back ache. General examination was within normal limits. Abdominal examination was unremarkable. On per rectal examination, a soft swelling was palpable anteriorly with slight mobility below prostate.\nBlood examinations were within normal limits and serum prostate specific antigen was not raised. Ultrasonography suggested a lump in the pelvis with close adherence to the base of the bladder. Computed tomography (CT) of abdomen and pelvis suggested a soft tissue swelling in the pelvis measuring 4.7x4.3x3 cm with connection to the left seminal vesicle (). Ultrasound guided trans-rectal needle biopsy of the tumor was done. Histological evaluation showed spindle cell tumor. Surgical excision was done through a suprapubic approach. Intra-operatively the tumor was found arising from the lateral margin of left seminal vesicle with no adhesions to surrounding organs rectum, urinary bladder and prostate (). The tumor was excised leaving the seminal vesicle intact (). Post operative period was uneventful with near complete relief of symptoms. Histopathology report confirmed the tumor to be a leiomyoma (). Follow up of six months has shown him to be disease and symptom free.