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Published on: October 30, 2013
[Transitional cell tumor in a 12-year-old patient]
C Paredes Mercado1, F Rivilla Parra, J Ruiz Martín
1Departamento de Pediatría. Hospital Clínico Universitario San Carlos, Madrid, España. Ceciliaannpm@yahoo.es
Insights
Transitional cell papillomas are rare urinary tract tumors in children. This case highlights a 12-year-old girl
Area of Science:
- Urology
- Pediatric Oncology
- Pathology
Background:
- Transitional cell papillomas (TCPs) are common adult urinary tract neoplasms but rare in children.
- These epithelial tumors typically occur in the bladder, near ureteric orifices.
- Gross hematuria is the most frequent presenting symptom.
Observation:
- A 12-year-old girl presented with a transitional cell papilloma.
- The tumor was located near the right ureteric orifice.
- This case provides insight into a rare pediatric presentation.
Findings:
- Transitional cell papillomas are histologically low-grade tumors.
- Complete surgical excision is generally curative.
- High recurrence rates and potential for aggressive transformation are noted.
Implications:
- Early diagnosis and management are crucial for pediatric TCPs.
- Understanding the etiopathogenesis may improve treatment strategies.
- This case contributes to the literature on rare pediatric urinary tract neoplasms.
Abstract:
Transitional cell papillomas, which are tumors of epithelial origin, are the most common urinary tract neoplasm in adults but are extremely rare in children. In both groups the main location is the bladder, often around one of the ureteric orifices. Symptoms vary widely but the most frequent is gross hematuria. Transitional cell papillomas are histologically low-grade tumors and total excision is considered curative. However the rate of recurrence in the literature is high, and there is a potential for a more aggressive type of tumor. We report the case of a 12-year-old girl who presented with a transitional cell papilloma near the right ureteric orifice and describe the etiopathogenesis, diagnosis, treatment and outcome of this entity.
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