Urothelial neoplasm of the bladder in childhood and adolescence: a rare disease
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:...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Urologia
2016-04-01
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| Series: | International Brazilian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382016000200242&lng=en&tlng=en |
| _version_ | 1818332779011637248 |
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| author | Haci Polat Mehmet M. Utangac Murat T. Gulpinar Ali Cift Ibrahim Halil Erdogdu Gul Turkcu |
| author_facet | Haci Polat Mehmet M. Utangac Murat T. Gulpinar Ali Cift Ibrahim Halil Erdogdu Gul Turkcu |
| author_sort | Haci Polat |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-13T13:41:10Z |
| format | Article |
| id | doaj.art-11ada59d69c94195b8eb8da5498707a1 |
| institution | Directory Open Access Journal |
| issn | 1677-6119 |
| language | English |
| last_indexed | 2024-12-13T13:41:10Z |
| publishDate | 2016-04-01 |
| publisher | Sociedade Brasileira de Urologia |
| record_format | Article |
| series | International Brazilian Journal of Urology |
| spelling | doaj.art-11ada59d69c94195b8eb8da5498707a12022-12-21T23:43:34ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-61192016-04-0142224224610.1590/S1677-5538.IBJU.2015.0200S1677-55382016000200242Urothelial neoplasm of the bladder in childhood and adolescence: a rare diseaseHaci PolatMehmet M. UtangacMurat T. GulpinarAli CiftIbrahim Halil ErdogduGul TurkcuABSTRACT 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.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382016000200242&lng=en&tlng=enUrinary Bladder NeoplasmsAdolescentUltrasonography |
| spellingShingle | Haci Polat Mehmet M. Utangac Murat T. Gulpinar Ali Cift Ibrahim Halil Erdogdu Gul Turkcu Urothelial neoplasm of the bladder in childhood and adolescence: a rare disease International Brazilian Journal of Urology Urinary Bladder Neoplasms Adolescent Ultrasonography |
| title | Urothelial neoplasm of the bladder in childhood and adolescence: a rare disease |
| title_full | Urothelial neoplasm of the bladder in childhood and adolescence: a rare disease |
| title_fullStr | Urothelial neoplasm of the bladder in childhood and adolescence: a rare disease |
| title_full_unstemmed | Urothelial neoplasm of the bladder in childhood and adolescence: a rare disease |
| title_short | Urothelial neoplasm of the bladder in childhood and adolescence: a rare disease |
| title_sort | urothelial neoplasm of the bladder in childhood and adolescence a rare disease |
| topic | Urinary Bladder Neoplasms Adolescent Ultrasonography |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382016000200242&lng=en&tlng=en |
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