Your browser doesn't support javascript.
loading
Urothelial neoplasm of the bladder in childhood and adolescence: a rare disease
Polat, Haci; Utangac, Mehmet M; Gulpinar, Murat T; Cift, Ali; Erdogdu, Ibrahim Halil; Turkcu, Gul.
Afiliação
  • Polat, Haci; Adiyaman University. Faculty of Medicine. Department of Urology. Adiyaman. TR
  • Utangac, Mehmet M; Adiyaman University. Faculty of Medicine. Department of Urology. Adiyaman. TR
  • Gulpinar, Murat T; Adiyaman University. Faculty of Medicine. Department of Urology. Adiyaman. TR
  • Cift, Ali; Adiyaman University. Faculty of Medicine. Department of Urology. Adiyaman. TR
  • Erdogdu, Ibrahim Halil; Adiyaman University. Faculty of Medicine. Department of Urology. Adiyaman. TR
  • Turkcu, Gul; Adiyaman University. Faculty of Medicine. Department of Urology. Adiyaman. TR
Int. braz. j. urol ; 42(2): 242-246, Mar.-Apr. 2016. tab, graf
Article em En | LILACS | ID: lil-782857
Biblioteca responsável: BR1.1
ABSTRACT
ABSTRACT

Purpose:

Bladder tumors are rare in children and adolescents. For this reason, the diagnosis is sometimes delayed in pediatric patients. We aimed to describe the diagnosis, treatment, and follow-up methods of bladder urothelial neoplasms in children and adolescents. Materials and

Methods:

We carried out a retrospective multicenter study involving patients who were treated between 2008 and 2014. Eleven patients aged younger than 18 years were enrolled in the study. In all the patients, a bladder tumor was diagnosed using ultrasonography and was treated through transurethral resection of the bladder (TURBT).

Results:

Nine of the 11 patients (82%) were admitted with gross hematuria. The average delay in diagnosis was 3 months (range, 0–16 months) until the ultrasonographic diagnosis was performed from the first episodes of macroscopic hematuria. A single exophytic tumor (1–4cm) was present in each patient. The pathology of all patients was reported as superficial urothelial neoplasm two with papilloma, one with papillary urothelial neoplasm of low malignant potential (PUNLMP), four with low grade pTa, and four with low grade pT1. No recurrence was observed during regular cystoscopic and ultrasonographic follow-up.

Conclusions:

Regardless of the presence of hematuria, bladder tumors in children are usually not considered because urothelial carcinoma in this population is extremely rare, which causes a delay in diagnosis. Fortunately, the disease has a good prognosis and recurrences are infrequent. Cystoscopy may be unnecessary in the follow-up of children with bladder tumors. We believe that ultrasonography is sufficient in follow-up.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Neoplasias da Bexiga Urinária / Carcinoma Papilar / Carcinoma de Células Renais Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies Limite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Int. braz. j. urol Assunto da revista: UROLOGIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Turquia País de publicação: Brasil

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Neoplasias da Bexiga Urinária / Carcinoma Papilar / Carcinoma de Células Renais Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies Limite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Int. braz. j. urol Assunto da revista: UROLOGIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Turquia País de publicação: Brasil