A case of postoperative spindle cell nodule of the bladder is reported
. Initial pathological analysis was interpreted as leiomyosarcoma for
which the patient underwent radical cystectomy, but subsequent reviews
were consistent with a postoperative spindle cell nodule. Recognition
of this benign, yet rare lesion is of significant importance to urolo
gists, pathologists, and to the patient who may undergo extensive surg
ical procedure unnecessarily.