Bladder Tumor in Young Boy: A Rare Case Report
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 8
Abstract
Introduction: Bladder cancer below the age of 20 years old is not only rare, with an approximated total of 125 cases being collected worldwide by 2010 but it has also been defined as clinico-pathologically distinct from bladder tumors in older age groups. As benign causes of frank hematuria are more common in this age group than tumors, this often leads to a considerable delay in the diagnosis. With this case we would like to emphasize that bladder tumor should be consider in the diagnosis for evaluation of causes for hematuria in younger age groups. Case Report: We present a case of 15 year old boy who came to us with on and off hematuria since 4 months with occasional passage of clots. No other significant history. No family history of malignancy. No history of smoking. On examination- he had pallor, dehydration and suprapubic tenderness. He was admitted and received 4 units of PRBC for hemodynamic stabilization. A microscopy and culture test of his urine confirmed his urine to be sterile and urine cytology was negative for malignant cells. On further workup USG showed 5.2x3cm Urinary Bladder growth in right posteroinferior wall suggesting urinary bladder tumor. CECT revealed small polypoidal irregular soft tissue mass in posterolateral wall of urinary bladder and no evidence of any upper tract abnormality, lymph nodes or metastases. He underwent TURBT under spinal anesthesia and perioperative periods were uneventful. HPE reported as low grade papillary urothelial cancer. He was discharged with follow up advice. Conclusion: Despite its low incidence in children, TCCB must be suspected in the event of macroscopic haematuria. Ultrasound followed by cystoscopy are the ideal diagnostic tools for visualization of these tumours. Follow up must be clinical with periodic ultrasound evaluation. Periodic cystoscopy is indicated only in cases of clinical or ultrasonographic suspicion of recurrence. Discussion: Neither physical examination nor laboratory analysis revealed any significant abnormalities, but ultrasound showed polypoidal intravesical lesions. Surgical resection was performed endoscopically.
Authors and Affiliations
Dr Sumit Gupta
Keywords
Related Articles
- EP ID EP519476
- DOI -
- Views 63
- Downloads 0
A Comparison Study of QT Dispersion in Early and Delayed Thrombolytic Therapy in Acute ST Elevation Myocardial Infarction
Introduction: In analysis of Global burden of disease there is a shift from communicable to non communicable disease. Ischemic heart disease causes more death and disability than any other illness in the developed world....
Assessment of Serum Vitamin D3 Level in Patients with Type 2 Diabetes Mellitus
Background: The aim of this article is to determine the association between serum vitamin D level and newly diagnosed type 2 diabetes mellitus in Erbil city. Methods: This is a case-controle study involving 100 subjects...
Primary Squamous Cell Carcinoma of Parotid Gland
Primary squamous cell carcinoma of the parotid gland is a rare aggressive malignancy. It is a rapidly advancing lesion which, if not recognised and treated early, results in high morbidity and mortality. Despite radical...
Adhesive Capsulitis with Cervical Spondylosis, with Physical Therapy Interventions- An Evidence Based Case Study
Introduction: Rotator cuff lesion, a common clinical entity, mostly present with cervical spine lesion, physiotherapy plays a vital role in rehabilitation of these subjects. Aims and Objectives: This case presentation wa...
Paratesticular Liposarcoma: A Diagnostic Challenge
Liposarcoma of the spermatic cord is rare. It usually presents as a painless slowly-growing scrotal mass of consistency like lipoma. Inguinal orchiectomy is an adequate surgical approach. Retroperitoneal lymphadenectomy...