Urothelial Carcinoma of the Bladder in Pediatric Patient: Four Case Series and Review of the Literature

Year 2018, Volume: 35 Issue: 3, 268 - 271, 01.05.2018

Murat Uçar Metin Demirkaya Berna Aytaç Vuruşkan Emin Balkan Nizamettin Kılıç

Abstract

Background: Urothelial carcinoma of the bladder is a rare condition
in children, and most cases in this age group are noninvasive and
low-grade. However, no follow-up protocol has been defined for this
patient group. The objective of this study was to draw attention to
bladder tumors in children and focus on the current recommendations
for postoperative follow-up along with a case study of four patients.
Case Report: Four patients aged <18 years with urothelial carcinoma
who were treated in our clinics between 2001 and 2015 were
retrospectively evaluated. The results were compared with those of
published pediatric case series in the literature. No abnormalities were
found in the patients’ physical examinations and laboratory analyses,
except hematuria (microscopic or macroscopic). Ultrasonography
was used in all the patients to detect lesions in the bladder. Surgical
resections were performed endoscopically, except in one patient.
Histopathological evaluations revealed low-grade superficial
urothelial carcinoma. No recurrence or complication was observed
for all patients.
Conclusion: Although rarely encountered during childhood,
urothelial carcinoma should be considered as a differential diagnosis
in pediatric patients with hematuria.

Keywords

Bladder, children, transitional cell carcinoma, treatment

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