Presentation of bladder leiomyoma concurrent with transitional cell carcinoma

We report a case of a 46-year-old male who presented to the outpatient urology clinic with an incidental bladder mass. Office cystoscopy revealed two synchronous tumors of different morphology. Endoscopic resection was performed to remove the smaller, papillary tumor, of which pathology revealed Ta, Grade 1 urothelial carcinoma. A second open resection was performed to remove the second tumor, a benign leiomyoma.