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Genc YE, Ulker ND, Toper MH, Yucel S, Sener TE. Bladder Leiomyoma in a 15-Year-Old Female Patient: A Case Report. Cureus 2024; 16:e61310. [PMID: 38983791 PMCID: PMC11231453 DOI: 10.7759/cureus.61310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/29/2024] [Indexed: 07/11/2024] Open
Abstract
Bladder leiomyoma is a rare condition in pediatric and adolescent age groups, accounting for less than 1% of all bladder tumors, presenting a diverse array of histologic types and prevalence. Furthermore, bladder leiomyoma's prevalence is even more seldom with only five reported cases till the present day. Common presentation depends on the localisation and the affected layer in the bladder, urinary outlet or ureteral obstruction, irritative voiding symptoms, pelvic pain, and hematuria are the most common presentations of this condition. Diagnostic, treatment, and follow-up protocols in this entity are not well-established due to their rare occurrence in this age group. After complete surgical excision, the prognosis is excellent and the risk of recurrence is reported to be very low. Up to the present day, no instances of malignant transformation or metastasis have been documented in the literature. This case report aims to enhance current knowledge of the radiological, pathological, and clinical features of bladder leiomyoma in a 15-year-old female patient. The main complaint was lower urinary tract symptoms. An incidental solid bladder mass was discovered during the evaluation with ultrasound and magnetic resonance imaging (MRI). Afterwards, cystoscopy confirmed a 5-centimeter solid mass at the right wall of the bladder, and transurethral piecemeal resection was performed. The bladder mass was found to be intramural, and complete endoscopic resection was considered safe and efficient during the surgery. No complications or recurrence occurred in the postoperative setting.
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Affiliation(s)
- Yunus Emre Genc
- Department of Urology, Marmara University School of Medicine, Istanbul, TUR
| | - Naif Dinc Ulker
- Department of Urology, Marmara University School of Medicine, Istanbul, TUR
| | | | - Selcuk Yucel
- Department of Urology, Pediatric Urology Division, Marmara University School of Medicine, Istanbul, TUR
| | - Tarik Emre Sener
- Department of Urology, Marmara University School of Medicine, Istanbul, TUR
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Saunders B, Reynolds E, Concepcion Paster I, Elliott S, Hannallah A. Rhabdomyosarcoma of the Prostate in Adolescent Presenting With Urinary Retention. Clin Pediatr (Phila) 2024:99228241236235. [PMID: 38450605 DOI: 10.1177/00099228241236235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/08/2024]
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Tua-Caraccia R, Livingston A, Routh JC. Recurrent Papillary Bladder Tumors in a Boy With Lynch Syndrome. Urology 2023; 181:133-135. [PMID: 37422136 DOI: 10.1016/j.urology.2023.06.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2023] [Accepted: 06/19/2023] [Indexed: 07/10/2023]
Abstract
Lynch syndrome (LS) is an autosomal dominant genetic disorder defined by germline mutations in one of four mismatch repair genes including PMS2, MLH2, MSH1, MSH2, or deletion in the EPCAM gene.1 The most common urologic manifestation of LS is upper tract urothelial carcinoma, which occurs in up to 20% of patients with LS.2 While data are scarce, there is growing evidence of an increased relative risk of bladder malignancy in patients with LS.3,4 Bladder tumors in children are a rare entity and the link between pediatric bladder tumors and LS has not been previously reported to our knowledge.
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Affiliation(s)
| | - Austin Livingston
- Department of Urology, Duke University School of Medicine, Durham, NC
| | - Jonathan C Routh
- Department of Urology, Duke University School of Medicine, Durham, NC
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Xu P, Chen C, Chen B, Bi E, Du W, Jiang N, Liu Z, Lan H, Cao M, Liu Y, Huang J, Shen H, Liu C, Liu C, Xu A. Long-term Follow-up of Detaenial Sigmoid Neobladder Reconstruction for Paediatric Patients with Bladder and Prostate Rhabdomyosarcoma: Technique and Results from a Single High-volume Centre. Eur Urol 2022; 82:543-550. [PMID: 36050131 DOI: 10.1016/j.eururo.2022.08.015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Revised: 07/21/2022] [Accepted: 08/14/2022] [Indexed: 11/28/2022]
Abstract
BACKGROUND Rhabdomyosarcoma (RMS) is the most common paediatric soft-tissue sarcoma. Approximately 15-20% of RMS cases arise from the bladder and prostate (B/P). The optimal treatment strategy for B/P RMS remains unclear. OBJECTIVE To retrospectively evaluate the applicability of our procedure performed to treat paediatric patients with B/P RMS. DESIGN, SETTING, AND PARTICIPANTS This is a retrospective analysis from a single tertiary referral hospital. From August 2003 to March 2021, 62 children pathologically diagnosed with B/P RMS underwent radical cystectomy and orthotopic detaenial sigmoid neobladder reconstruction in our centre. SURGICAL PROCEDURE Surgical procedures included laparoscopic radical cystectomy and detaenial sigmoid neobladder reconstruction, which is demonstrated in the accompanying video. MEASUREMENTS Demographic, clinical, and follow-up data were collected. Perioperative and long-term oncological and functional outcomes were reported. A logistic regression analysis was also performed. RESULTS AND LIMITATIONS All surgeries, including three intracorporeal laparoscopic surgeries, were completed successfully. Of the 62 patients, 54 were alive without evidence of disease recurrence or metastasis at the last follow-up. Five of the 14 >12-yr-old boys reported that they experienced erections. Two female patients >12 yr old reported that they menstruated. However, this was a retrospective study conducted at a single centre with limited surgeon experience. CONCLUSIONS Our results confirmed the safety and feasibility of primary orthotopic sigmoid neobladder reconstruction after radical cystectomy for paediatric patients with B/P RMS. Good outcomes in terms of oncological control and functional recovery were achieved. The high histocompatibility and tissue adaptability of children are inspiring. PATIENT SUMMARY We describe our stepwise technique of radical cystectomy and detaenial sigmoid neobladder reconstruction for paediatric patients with bladder and prostate rhabdomyosarcoma. With this technique, we were able to achieve good functional recovery without compromising cancer control and significantly increasing complications.
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Affiliation(s)
- Peng Xu
- Department of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou, China
| | - Chunxiao Chen
- Department of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou, China
| | - Binshen Chen
- Department of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou, China
| | - Enguang Bi
- Department of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou, China; Department of Biochemistry and Molecular Biology, School of Basic Medical Science, Guangdong Provincial Key Laboratory of Single Cell Technology and Application, Southern Medical University, Guangzhou, China
| | - Wei Du
- Department of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou, China
| | - Ning Jiang
- Department of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou, China
| | - Zhe Liu
- Department of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou, China
| | - Hekui Lan
- Department of Paediatrics, Zhujiang Hospital, Southern Medical University, Guangzhou, China
| | - Manming Cao
- Department of Oncology, Zhujiang Hospital, Southern Medical University, Guangzhou, China
| | - Yazhen Liu
- Department of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou, China
| | - Jingwen Huang
- Department of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou, China
| | - Haiyan Shen
- Department of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou, China
| | - Cunrong Liu
- Department of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou, China
| | - Chunxiao Liu
- Department of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
| | - Abai Xu
- Department of Urology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
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Shumaker AD, Harel M, Gitlin J, Friedman SC, Dyer L, Freyle J, Zelkovic PF, Horowitz M, Fine RG, Schlussel RN. Pediatric Bladder Tumors: A Ten-Year Retrospective Analysis. Urology 2022; 169:185-190. [PMID: 35970356 DOI: 10.1016/j.urology.2022.08.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Revised: 07/27/2022] [Accepted: 08/01/2022] [Indexed: 10/15/2022]
Abstract
OBJECTIVE To present our experience in a single pediatric urology practice over a ten-year period with bladder tumors in the pediatric population in an effort to add to the relatively small amount of existing data. We hope to expand the community's knowledge of presentations, management and natural history of pediatric bladder tumors. METHODS We retrospectively queried our electronic medical records for ICD-10 and CPT codes relevant for bladder tumors. Patients with underlying bladder pathology, such as neurogenic bladder, history of bladder exstrophy, and history of bladder augmentation, were excluded. RESULTS We identified 30 patients with bladder tumors from 2011 to 2021. There were 21 males and 9 females. Age at diagnosis ranged from 16 months to 19 years. Tumors identified were: 11 of various inflammatory subtypes; 4 papillomas; 4 rhabdomyosarcomas; 3 papillary urothelial neoplasms of low malignant potential (PUNLMP) and 8 of other types. Treatment included transurethral resection of bladder tumor (TURBT), chemoradiation and laparoscopic partial cystectomy. 29 patients had disease limited to the bladder and 1 had disease outside the bladder. Follow-up ranged from 2 weeks to 13 years (median 19 months). All patients had no evidence of disease at most recent follow-up. CONCLUSION Pediatric bladder tumors range from aggressive rhabdomyosarcomas to more benign urothelial lesions. Fortunately, the latter type of tumor is the more prevalent lesion. Knowledge of the treatment options and natural history of these tumors will hopefully be of benefit to clinicians and parents alike.
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Affiliation(s)
| | - Miriam Harel
- Pediatric Urology Associates, P.C. Tarrytown, NY, USA
| | - Jordan Gitlin
- Pediatric Urology Associates, P.C. Tarrytown, NY, USA
| | | | - Lori Dyer
- Pediatric Urology Associates, P.C. Tarrytown, NY, USA
| | - Jaime Freyle
- Pediatric Urology Associates, P.C. Tarrytown, NY, USA
| | | | - Mark Horowitz
- Pediatric Urology Associates, P.C. Tarrytown, NY, USA
| | - Ronnie G Fine
- Pediatric Urology Associates, P.C. Tarrytown, NY, USA
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Hamid NF, Albalawi FM, Aloufi AA, Hamas RA, Alanazi NAH, Alanazi TH. Epidemiological Trends in Childhood Cancer in Saudi Arabia. CLINICAL CANCER INVESTIGATION JOURNAL 2022. [DOI: 10.51847/tkpqjghedq] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
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Sukezaki A, Kato S, Makise N, Watadani T, Fujishiro J. Pseudotumoral cystitis mimicking malignancy in a child. Pediatr Int 2022; 64:e15160. [PMID: 35616154 DOI: 10.1111/ped.15160] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2021] [Revised: 01/28/2022] [Accepted: 02/03/2022] [Indexed: 01/05/2023]
Affiliation(s)
- Akira Sukezaki
- Department of Pediatrics, The University of Tokyo, Tokyo, Japan
| | - Shota Kato
- Department of Pediatrics, The University of Tokyo, Tokyo, Japan
| | - Naohiro Makise
- Department of Pathology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan
| | | | - Jun Fujishiro
- Department of Pediatric Surgery, The University of Tokyo, Tokyo, Japan
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Something is growing out of my baby's vagina. J Paediatr Child Health 2021; 57:1338-1339. [PMID: 34339564 DOI: 10.1111/jpc.2_15319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2020] [Revised: 11/13/2020] [Accepted: 11/16/2020] [Indexed: 11/29/2022]
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