Related Experiment Videos
[Vesical urothelial papilloma]
D Encinas Sánchez1, S Bonilla Fornés1, G Alonso Ciodaro2
1Facultad de Medicina de la UEX, Badajoz.
Insights
Pediatric bladder tumors are rare, necessitating careful diagnosis. This case highlights vesical urothelial papilloma management, emphasizing follow-up to monitor for potential malignant progression.
Area of Science:
- Pediatric Urology
- Oncology
- Pathology
Background:
- Vesical tumors in infancy are rare, lacking established treatment protocols.
- Current histological criteria follow WHO 2004 guidelines.
- Isolated cases necessitate individualized management strategies.
Introduction:
Vesical tumors of infancy are of a low incidence and isolated clinical cases exist, and therefore there are no protocols regarding treatment and monitoring. In addition, the histological criteria used until now are the ones in the WHO 2004 guidelines.
Clinical Case:
A 11 year old boy with non-specific abdominal pain. Upon abdominal ultrasound a tumor is observed near the left ureteral orifice, and proceeding with Thulium laser vaporization, a histological diagnosis is made: vesical urothelial papilloma.
Comments:
Different diagnostic and therapeutic methods are discussed, with particular emphasis on the importance of a correct diagnosis due to risk of confusion with carcinomas. Despite benign, there is a risk of malignant progression and we recommend pursuing clinical follow-ups and periodical ultrasounds, performing cystoscopy in case of suspicious findings on ultrasound.