Table 1.
Etiology | Unknown. |
Incidence | Rare, 81 cases reported. |
Gender ratio | Male to female ratio of 11:6. |
Age predilection | Young adults, with an average age of 28 years. |
Risk factors | Recurrent cystitis and prior urinary bladder surgery. |
Clinical presentation | Hematuria, anemia, frequency and dysuria. Urinary tract obstruction may occur. |
Treatment | Conservative surgery: transurethral tumor resection or partial cystectomy. |
Prognosis | Good. No recurrence reported after surgery. |
Findings on imaging | Exophytic or polypoid urinary bladder mass. Ultrasound: hypoechoic or hyperechoic CT: ranging from hypo to hyperattenuating MR: hypointense on T1 and T2-weighted images Contrast-enhanced CT and MR: early peripheral enhancement. Central areas may show late enhancement. |
Findings on pathology | Spindle cell proliferation mixed with inflammatory infiltrate. |