Li-Cheng Song1, Qian Xu2, Hui Li1, Zhi-Jun Li1, Ya Li3, Ya-Fei Qin1, Bao-Long Wang4, Hua-Feng Zhang5. 1. Department of Orthopaedic, Tianjin Medical University General Hospital, Anshan Road No. 154, Heping District, Tianjin, 300052, China. 2. School of Integrative Medicine, Tianjin University of Traditional Chinese Medicine, Tianjin, 301617, China. 3. Department of the Obstetrics and Gynecology, Tianjin Medical University General Hospital, Tianjin, 300052, China. 4. Department of Urology, Tianjin Medical University General Hospital, Anshan Road No. 154, Heping District, Tianjin, 300052, China. xiaohei67521@gmail.com. 5. Department of Orthopaedic, Tianjin Medical University General Hospital, Anshan Road No. 154, Heping District, Tianjin, 300052, China. tijmuhua516@163.com.
Abstract
BACKGROUND: Osteochondroma is the most common benign bone neoplasm and is sometimes referred to as osteocartilaginous exostosis. The symptoms caused by osteochondroma are rare, especially the urogenital complications. Therefore, this tumour is sometimes misdiagnosed. CASE PRESENTATION: This report described a 70-year-old woman with hematuria who was initially misdiagnosed with a bladder tumour in the outpatient department by a urologist. However, during cystoscopy, we found that the mass did not resemble a bladder tumor. Multidisciplinary approach with careful analysis of the imaging data suggested the diagnosis of osteochondroma. Open surgical excision of the mass was done and histology confirmed the diagnosis of benign osteochondroma. After 6 months of follow-up, the patient was still asymptomatic. CONCLUSIONS: This case illustrates that hematuria is caused by not only urogenital disease but also osteochondroma. We present this case to draw the attention of clinicians to osteochondroma of the pubic symphysis.
BACKGROUND:Osteochondroma is the most common benign bone neoplasm and is sometimes referred to as osteocartilaginous exostosis. The symptoms caused by osteochondroma are rare, especially the urogenital complications. Therefore, this tumour is sometimes misdiagnosed. CASE PRESENTATION: This report described a 70-year-old woman with hematuria who was initially misdiagnosed with a bladder tumour in the outpatient department by a urologist. However, during cystoscopy, we found that the mass did not resemble a bladder tumor. Multidisciplinary approach with careful analysis of the imaging data suggested the diagnosis of osteochondroma. Open surgical excision of the mass was done and histology confirmed the diagnosis of benign osteochondroma. After 6 months of follow-up, the patient was still asymptomatic. CONCLUSIONS: This case illustrates that hematuria is caused by not only urogenital disease but also osteochondroma. We present this case to draw the attention of clinicians to osteochondroma of the pubic symphysis.
Entities:
Keywords:
Case report; Hematuria; Osteochondroma; Pubic symphysis
Authors: Wai Lee; Katherine Amin; David M Kieras; David L Coy; Steven M Ruhoy; Una J Lee Journal: Female Pelvic Med Reconstr Surg Date: 2020 Jan/Feb Impact factor: 2.091