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Case Reports
. 2021 Dec 1;14(12):e247239.
doi: 10.1136/bcr-2021-247239.

Urothelial carcinoma in a child with gross hematuria: a complaint not to be dismissed

Han Lim Ong #  1 , Han Jie Lee #  2 , Tze Kiat Ng  3 , Te-Lu Yap  1
Affiliations
Case Reports

Urothelial carcinoma in a child with gross hematuria: a complaint not to be dismissed

Han Lim Ong et al. BMJ Case Rep. .

Abstract

Hematuria is not uncommonly seen among children. We describe the case of a 13-year-old boy who was diagnosed with urothelial carcinoma after presenting with persistent gross hematuria for 2 weeks. We highlight the importance of adequate workup for gross hematuria as it is often associated with an underlying pathology that could lead to significant morbidity if left undiagnosed.

Keywords: hematuria; paediatric surgery; urological cancer.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Ultrasound of the bladder on (A) transverse view and (B) sagittal view, showing a 2.7×1.9×1.7 cm hyperechoic lesion near the anterior wall of the bladder. Application of colour flow Doppler (C) revealed the presence of vascularity within the lesion.
Figure 2
Figure 2
MRI urography, with (A) T1-weighted axial image revealing the 1.8×1.6×0.9 cm polypoidal lesion arising from a stalk from the anteroinferior wall of the bladder. (B) T2-weighted coronal and (C) T2-weighted sagittal images showing the lesion within an intact T2 hypointense bladder wall with no definite invasion.
Figure 3
Figure 3
(A) Cystoscopic image of papillary tumour obtained during transurethral resection of bladder tumour. (B) Histology of the resected tumour showing branching papillae with a fibrovascular core, lined by urothelial cell
See this image and copyright information in PMC

References

    1. Vehaskari VM, Rapola J, Koskimies O, et al. Microscopic hematuria in school children: epidemiology and clinicopathologic evaluation. J Pediatr 1979;95:676–84. 10.1016/S0022-3476(79)80710-6 - DOI - PubMed
    1. Bergstein J, Leiser J, Andreoli S. The clinical significance of asymptomatic gross and microscopic hematuria in children. Arch Pediatr Adolesc Med 2005;159:353–5. 10.1001/archpedi.159.4.353 - DOI - PubMed
    1. Youn T, Trachtman H, Gauthier B. Clinical spectrum of gross hematuria in pediatric patients. Clin Pediatr 2006;45:135–41. 10.1177/000992280604500204 - DOI - PubMed
    1. Greenfield SP, Williot P, Kaplan D. Gross hematuria in children: a ten-year review. Urology 2007;69:166–9. 10.1016/j.urology.2006.10.018 - DOI - PubMed
    1. Freedman ND, Silverman DT, Hollenbeck AR, et al. Association between smoking and risk of bladder cancer among men and women. JAMA 2011;306:737. 10.1001/jama.2011.1142 - DOI - PMC - PubMed

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