Bladder urothelial tumors in children:diagnosis and treatment of 5 cases
Objective To explore the diagnosis,treatment and pathologic features of bladder urothelial tumor in children.Methods From January 2015 to September 2021,the relevant clinical data were retrospectively reviewed for 5 children with bladder urothelial tumor.There were 3 boys and 2 girls with an age range of 82 to 166 months.Four children were hospitalized for gross hematuria while another child revealed bladder mass during physical examination.Tumors were located in trigone of bladder(n=1),anterior wall of bladder(n=2),left posterior wall of bladder(n=1)and above right ureteral orifice(n=1).Transurethral resection(n=2),open resection(n=2)and pneumovesical resection(n=1)were performed.Results All procedures were successfully completed without any postoperative complication.The results of pathological examination were low malignant potential papillary urothelial neoplasm(n=2),inverted urothelial papilloma(n=2)and urothelial papilloma(n=1).During an average follow-up period of 31(6-84)months,there was no tumor recurrence or metastasis.Conclusions Bladder urothelial tumor in children are the mostly non-infiltrative benign or low-grade neoplasms.Transurethral resection is a first choice.And some times tumor enucleation or partial cystectomy is required.