Transurethral Resection of the Bladder Tumour as a Treatment Method in Children with Transitional Cell Carcinoma of the Bladder – Analysis of Our  Material and Literature Review

Apoznański, Wojciech; Rysiakiewicz, Jolanta; Polok, Marcin; Rysiakiewicz, Konrad; Siekanowicz, Piotr; Hilger, Tomasz; Zagierski, Jan; Hilger, Magdalena; Nowak, Izabela; Kolęda, Piotr; Szydełko, Tomasz

doi:10.17219/acem/36600

Cited by 9 publications

(10 citation statements)

References 14 publications

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“…They admitted that those tumours in paediatric practice had the low grade of recurrence (up to 7 per cent) and, as a rule, the surgical treatment was sufficient. Other researchers made the same conclusions [1,3,5,[9][10][11]16].…”

Section: Introductionsupporting

confidence: 54%

Endoscopic resection of bladder urothelial neoplasm in a child: a case report

Шевчук¹,

Zaremba²,

Vasianovych³

2022

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Bladder tumour, especially urothelial neoplasm, is a very rare condition in paediatric age. That is why true and accurate information on biological grade of malignancy and, correspondingly, the surgical management is absent. However, the majority of physicians take the view that this type of tumour has a low grade of malignization and recurrence, even after the endoscopic excision of neoplasm in paediatric patients. Purpose - to describe a clinical case of surgical management of the bladder urothelial neoplasm in a child by means of minimally invasive equipment. Clinical case. Endoscopic methods of surgical treatment are widely used in paediatric patients with the urinary tract conditions in our clinic. The transcutaneous surgical treatment of bladder conditions has been employed in paediatric patients since 2010. For example, it was used for the removal of ureterolith impacted in the bladder neck and foreign bodies of the bladder, as well as the bladder urothelial neoplasm excision. We also tried to use it for visualisation of the posterior urethra rupture length through a cystoscope, which was put into the epicystostomic hole of the posterior urethra together with the simultaneous urethroscopy (for the purpose of the directed illumination during the urethroscopy). However, due to the long length of the posttraumatic urethrostenosis, it was impossible to achieve the illumination and catheterisation of the urethra during the urethroscopy in the site of damage. The clinical case of the minimally invasive resection of the bladder urothelial neoplasm in a child is presented in the article. Minimally invasive techniques give the opportunity to perform even the radical operations with the perfect cosmetic result and minimal injury that is very important in the paediatric patients. The research was carried out in accordance with the principles of the Helsinki Declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors. Key words: bladder neoplasm, transcutaneous cystoscopy, neuromuscular bladder dysfunction, children.

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Section: Introductionsupporting

confidence: 54%

Endoscopic resection of bladder urothelial neoplasm in a child: a case report

Шевчук¹,

Zaremba²,

Vasianovych³

2022

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“…In a retrospective study, eight cases of UP were diagnosed over a 14-year period in three paediatric urology units,2 with others presenting only two cases of UP over a 12-year period 7…”

Section: Discussionmentioning

confidence: 99%

“…They account for only 1%–4% of all bladder tumours 7. The designation ‘papilloma’ has been used differently by diverse authors as a result of classification continuous update, in such a way that it is still in discussion if UP can be considered a benign lesion.…”

Section: Introductionmentioning

confidence: 99%

Urothelial papilloma: a rare cause of gross haematuria in childhood

Ribeiro¹,

Pereira

Reis³

et al. 2017

BMJ Case Reports

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Bladder urothelial papilloma is extremely rare in the paediatric population. It usually presents as painless gross haematuria and its diagnosis implies a high index of suspicion as other causes of haematuria predominate in this age range. We describe a 9-year-old boy with two episodes of gross haematuria occurring 1 year apart with spontaneous resolution after 2 days. Bladder ultrasound revealed an endovesical papillary lesion of 24×24 mm suggestive of bladder tumour. The diagnosis was confirmed by histopathological examination of the specimen obtained by cystoscopy with transurethral resection. After 3 years of follow-up with ultrasound and cystoscopy, there are no signs of recurrence. Due to the low prevalence of urothelial papilloma, paediatric guidelines for appropriate management and follow-up are unavailable, making this a challenging entity.

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“…В 2015 г. польский онкоуролог W. Apoznański и соавт. представили кооперированное исследование совместно с американскими коллегами [14]. За 2 года зарегистрированы 7 случаев РМП у подростков.…”

Section: материалы и методыunclassified