Management of Bladder Cancer in the Second Trimester of Pregnancy

Tyagi, Shefali; Nelivigi, Girish G; Bhagat, Swapnil

doi:10.1007/s13224-018-1142-4

Cited by 5 publications

(5 citation statements)

References 3 publications

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“…Other studies by Tyagi et al, Gupta et al, and Couto et al reported an incidence of 18.46%, 23.13%, and 15.45%, respectively, among total neoplastic tumors. 14,19 We found that endometrioma, serous cystadenoma, and mature cystic teratoma were equally present in the 12-20 year age group. Endometrioma was common in the 21-40 year age group, while mucinous cystadenoma was more common in the 41-50 year age group.…”

Section: Discussionmentioning

confidence: 78%

Study of Clinicopathological Pattern and Outcome of Adnexal Masses in Females from Puberty to Perimenopause at LD Hospital

2023

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Background: An adnexal mass, which refers to a mass located in the ovary, fallopian tube, or surrounding connective tissues, is a common problem in gynecology. A significant number of females present with adnexal masses, and the clinicopathological pattern and outcome of these masses are not well characterized. Therefore, a study was undertaken to evaluate the clinicopathological features and outcomes of adnexal masses in females from puberty to perimenopause. Methods: This study was a prospective observational study that was conducted over a period of one and a half years in the postgraduate department of Obstetrics and Gynaecology at Lalla Ded Hospital, GMC Srinagar. Ethical clearance was obtained from the Institution Ethics Committee (IEC) prior to conducting the study. Results: For patients aged 12-20, the chief complaints were pain abdomen (66.7%) and menorrhagia (33.3%). For patients aged 21-30, the chief complaints were pain abdomen (70.3%), dysmenorrhea (11.1%), secondary infertility (7.4%), and incidental finding during LSCS (11.1%). For patients aged 31-40, the chief complaints were pain abdomen (96%) and incidental finding during LSCS (4%). For patients aged 41-50, the chief complaints were distension and menorrhagia (both 50%). The chief complaints associated with these masses include Pain abdomen, Dysmenorrhea, Secondary infertility, Menorrhagia, Distension, Polymenorrhea, and Incidendal finding. The percentage of patients associated with each type of adnexal mass varies from 1% to 100%, depending on the type and chief complaint. Conclusion: The study found that adnexal masses were more prevalent in married women aged 21 to 40 years, with abdominal pain being the primary presenting symptom. Most of the masses were less than 100cc, and the majority of neoplastic lesions were surface epithelial tumors. The study also showed that non-neoplastic lesions were more common than neoplastic lesions, with only one malignant tumor found among the neoplastic lesions. Keywords: Adnexal mass, ovarian cancer, clinical presentation, histopathology

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Section: Discussionmentioning

confidence: 78%

Study of Clinicopathological Pattern and Outcome of Adnexal Masses in Females from Puberty to Perimenopause at LD Hospital

2023

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“…Bladder tumors during pregnancy have been described since 1927, with transitional cell carcinoma being the most common (70%) [ 3 – 7 ]. To our knowledge, only three cases of squamous cell bladder tumors have been reported in pregnant women (Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

“…Gross hematuria is frequent in pregnant women (up to 80% can present it), and the most common cause is cystitis [ 3 , 5 ]; considering the severity of the cases described above, cystoscopy is recommended for pregnant women with recurrent hematuria [ 7 ]. MRI can be used as a support tool for diagnosis and staging, and gadolinium can be used from the 23 rd week of gestation [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

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Bladder squamous cell carcinoma in a pregnant woman: case report and review of the literature

et al. 2021

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Background Bladder tumors in pregnancy are extremely rare. No more than 50 cases have been published to date, including all histologic variants, and only three cases of bladder squamous cell carcinoma have been described. Case presentation We present a clinical case of a 31-year-old woman with bladder squamous cell carcinoma in the second trimester of pregnancy. After a C-section at 30 weeks, we performed radical cystectomy with extended bilateral lymphadenectomy, hysterectomy and right oophorectomy. The Studer neobladder technique was performed for urinary tract reconstruction. Definitive pathology showed invasive bladder squamous cell carcinoma, Grade 2, with microscopic infiltration of the perivesical fat, negative margins, and 3/28 lymph nodes with carcinoma (pT3aN2M0). The patient underwent 18 months of surveillance after radical cystectomy, without recurrence by PET-CT. Conclusions Bladder cancer in pregnant women is extremely rare but must be considered in those with recurrent gross hematuria and/or recurrent urinary tract infection. To our knowledge, this case involves the longest recurrence-free survival of a pregnant woman with squamous cell bladder cancer published thus far.

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“…No ultrasonographic recurrence was found after the labor. Follow-up cystoscopy was suggested [ 15 ].…”

Section: Case Seriesmentioning

confidence: 99%

Bladder Cancer during Pregnancy: A Review of the Literature

Peteinaris,

Perros,

Prokopakis

et al. 2023

JPM

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Bladder malignancy represents the fourth most common cancer in men and the eighth in women in the western world. Women under 75 years of age have a risk of 0.5–1% of developing bladder cancer. The diagnosis usually occurs between 65 and 70 years of age, whereas the mortality rate for women varies from 0.5 to 4 per 100,000 every year. Nulliparous women present a greater risk than women who have given birth. The risk is further decreased when parity increases. Theoretically, hormonal changes occurring during pregnancy play a protective role. Smoking and occupational exposure to specific chemicals are the most common risk factors of bladder cancer. Other risk factors such as chronic urinary tract inflammation, cyclophosphamide, radiotherapy, and familial correlation have been reported. The aim of this review is to highlight a rare combination, which is the co-existence of bladder malignancy and pregnancy. We present thirteen different cases of women who were diagnosed with malignant bladder tumors during their pregnancy. A review of the literature was conducted, focusing on the unspecific symptoms, possible diagnostic tools, and suitable treatment modalities. The management of bladder cancer in pregnancy is a challenging process. The fragile balance between the possible complications of pregnancy and maternal health is yet to be discussed.

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Management of Bladder Cancer in the Second Trimester of Pregnancy

Abstract: Dr Shefali Tyagi has been working as a consultant in Obstetrics and Gynaecology at Cloudnine Hospital, Bellandur (Bengaluru), since August 2017. She is interested in management of high-risk pregnancies.

Cited by 5 publications

References 3 publications

Study of Clinicopathological Pattern and Outcome of Adnexal Masses in Females from Puberty to Perimenopause at LD Hospital

Study of Clinicopathological Pattern and Outcome of Adnexal Masses in Females from Puberty to Perimenopause at LD Hospital

Bladder squamous cell carcinoma in a pregnant woman: case report and review of the literature

Bladder Cancer during Pregnancy: A Review of the Literature

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