International Journal of Medical and Health Research

International Journal of Medical and Health Research


International Journal of Medical and Health Research
International Journal of Medical and Health Research
Vol. 6, Issue 1 (2020)

Low grade papillary urothelial carcinoma in children about a case


Zakarya Alami Hassani, Driss Hanine, Yassine Zouirech, Abir Manni, Freddy Niyongere, Naoufal Fejjal, Mohamed Rami, Rachid Belkacem, Mohamed Amine Bouhafs

Urothelial tumors of the bladder are a well-known pathology in adults. In children they are very rare and there are no defined guidelines about their management. We report the case of a 5-year-old boy who presented to our department with gross hematuria. Ultrasonography and cystoscopy with histological study showed a noninvasive low grade papillary urothelial carcinoma. The patient underwent a transurethral resection with no recurrence till date. Clinically, urothelial tumors of the bladder are mainly revealed by gross and painless hematuria. Definitive diagnosis is obtained by cystoscopy: endoscopic aspect is typical and transurethral biopsy allows the tumor’s grading and the elimination of other possible causes of tumor-like lesions. Transurethral resection is the main modality of treatment in children. Due to the significant recurrence rates, a close follow-up is mandatory. This can be done using ultrasonography or cystoscopy. The superiority of either technique is still not evident.
Pages : 162-164