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Case Reports
. 2019 Jan 17;7(3):409-412.
doi: 10.1002/ccr3.1909. eCollection 2019 Mar.

Urothelial neoplasm in a 19-year-old male patient with urine discoloration, negative lab, and imaging workup: Should we investigate the findings or the symptom?

Evangelos N Symeonidis  1 , Asterios Symeonidis  1 , Chrysovalantis Gkekas  1 , Christos Georgiadis  1 , Apostolos Malioris  1 , Michail Papathanasiou  1
Affiliations
Case Reports

Urothelial neoplasm in a 19-year-old male patient with urine discoloration, negative lab, and imaging workup: Should we investigate the findings or the symptom?

Evangelos N Symeonidis et al. Clin Case Rep. .

Abstract

With few cases of PUNLMPs in young adults being reported in the literature, we hope to raise clinical awareness of prompt and effective diagnosis, while maintaining a high index of suspicion among health professionals. Even in the absence of red blood cells in the urine and subsequent negative imaging workup, clinicians should not delay performance of diagnostic cystoscopy.

Keywords: PUNLMP; TURBT; bladder; papillary; young.

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Conflict of interest statement

The authors have no conflict of interests to disclose.

Figures

Figure 1
Figure 1
Axial view of first CT Urography (CTU), without any intravesical papillary mass or indication of filling defect
Figure 2
Figure 2
Image of transabdominal ultrasound of the bladder, failing to demonstrate intravesical papillary mass
Figure 3
Figure 3
Axial view of second CT Urography (CTU) 6 mo later, indicating the absence of papillary lesion inside the bladder
See this image and copyright information in PMC

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