Abstract

BackgroundOsteochondroma 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 presentationThis 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.ConclusionsThis 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.

Highlights

  • Osteochondroma is the most common benign bone neoplasm and is sometimes referred to as osteo‐ cartilaginous exostosis

  • This case illustrates that hematuria is caused by urogenital disease and osteochondroma

  • We present this case to draw the attention of clinicians to osteochondroma of the pubic symphysis

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Summary

Introduction

Osteochondroma is the most common benign bone neoplasm and is sometimes referred to as osteo‐ cartilaginous exostosis. Conclusions: This case illustrates that hematuria is caused by urogenital disease and osteochondroma. We present this case to draw the attention of clinicians to osteochondroma of the pubic symphysis. Osteochondroma can present as solitary exostosis or as a part of hereditary multiple exostoses [2]. Clinical data indicate that urogenital symptoms (compression, pain, dyspareunia, haematuria, and urination difficulties) are rare.

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Conclusion

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