Related Experiment Videos
Pediatric inflammatory bladder tumors: myofibroblastic and eosinophilic subtypes
The Journal of Urology
|September 24, 1999
Summary
Pediatric benign bladder tumors, including inflammatory myofibroblastic and eosinophilic types, require careful diagnosis and surgical management for bladder preservation. These rare focal cystitis forms necessitate precise terminology for effective treatment.
Area of Science:
- Pediatric Urology
- Pediatric Oncology
- Pediatric Pathology
Background:
- Benign bladder tumors are rare in children.
- Previous descriptive terms for inflammatory myofibroblastic or eosinophilic tumors have been used.
- This study presents experience with these rare pediatric bladder tumors and reviews existing literature.
Observation:
- A retrospective review of 5 children (2 girls, 3 boys; ages 2-12) with benign focal bladder masses was conducted.
- Presenting symptoms included irritative voiding symptoms, suprapubic pain, and hematuria.
- Diagnosis was confirmed by ultrasonography, followed by transurethral resection.
Findings:
- Three children with inflammatory myofibroblastic tumors underwent open tumor excision with bladder preservation.
- Two children with eosinophilic infiltration (positive urine culture) were treated with transurethral resection without partial cystectomy.
- Both tumor types represent focal cystitis with a tumefactive component.
Implications:
- Accurate differentiation from malignant bladder neoplasms is crucial for appropriate pediatric cancer treatment.
- Management involves local control via endoscopic or open surgery, prioritizing bladder preservation.
- Refined terminology for inflammatory myofibroblastic and eosinophilic tumors is encouraged for clarity in pediatric urology.