尖圭コンジロームを伴った女子尿道平滑筋腫

Abstract

Clinical and pathologic findings of a 33-year-old Japanese housewife with leiomyoma of the urethra associated with condylomata acuminata are reported. The onset of her disease dates back to about 3 years prior to visit, when her husband found a mass on her external genitalia. An obstetric physician whom she asked an artificial abortion, recommended the operation for the tumor and introduced to our clinic in 1974. Physical examination revealed an elliptical, light pink, elastic hard mass of a large walnut size on which surface associated with multiple, white, papillary projections of rice size in her vestibulum vaginae. Electroresection of the tumor was carried out. The excised specimen was 3.5×2.5×3.0cm, weighed 7.1 g and the projections were found to be grown on the urethral mucosa separated from the tumor. Histological examination revealed leiomyoma and condylomata acuminata. Referring to 63 cases of benign non-epithelial tumors, especially 29 cases of leiomyoma of the female urethra in Japan, clinical, histopathological and pathogenetic aspects of the tumor and associated condylomata acuminata are discussed.