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Primary bladder carcinoma presenting during pregnancy in 3 cases
S Gonzalez-Blanco1, D R Mador, D B Vickar
1Division of Urology, University of Alberta, Edmonton, Canada.
The Journal of Urology
|March 1, 1989
Summary
Transitional cell carcinoma of the bladder during pregnancy is rare. Early diagnosis via sonography and cystoscopy allows for safe treatment without impacting pregnancy outcomes.
Area of Science:
- Urology
- Obstetrics & Gynecology
- Oncology
Background:
- Transitional cell carcinoma (TCC) of the bladder is uncommon during pregnancy.
- Few cases have been documented in medical literature.
Observation:
- Three pregnant patients aged 23-24 years presented with bladder TCC between 15-24 weeks gestation.
- Gross hematuria in one case was initially misdiagnosed as vaginal bleeding.
- Sonography facilitated initial diagnosis, confirmed by cystoscopy.
Findings:
- All patients had superficial, papillary tumors (stage Ta, grades 1-2).
- Transurethral resection was safely performed.
- Pregnancy was unaffected in all reported cases.
Implications:
- Highlights the importance of considering bladder cancer in pregnant patients with urinary symptoms.
- Emphasizes the safety and efficacy of early diagnosis and treatment.
- Suggests that pregnancy does not necessarily complicate the management of early-stage bladder TCC.