Open AccessRole of cystitis glandularis and intestinal metaplasia in the development of a bladder benign polypoid tumor in a pediatric patient (case report)
Author(s) -
M Popescu,
G Drăgan
Publication year - 2021
Publication title -
romanian medical journal
Language(s) - English
Resource type - Journals
eISSN - 2069-606X
pISSN - 1220-5478
DOI - 10.37897/rmj.2021.1.19
Subject(s) - medicine , laparotomy , dysplasia , adenocarcinoma , metaplasia , urinary system , bladder tumor , biopsy , intestinal metaplasia , pathology , urology , radiology , cancer , bladder cancer
Benign tumoral bladder tumors in children are extremely rare. The inflammatory condition determined by the presence of glandular cystitis and intestinal metaplasia, coexisting or separately, can be a determinant factor for the development of these bladder masses. Both entities have been suggested to represent a precursor for bladder adenocarcinoma. We present the case of an autistic adolescent that presented with a polypoid bladder mass and urinary tract infection. We performed a cystoscopic examination and biopsy of the tumor and due to the large dimensions and preliminary histological results we decided to perform a laparotomy and excision of the mass and bladder wall that was attached to. Post operatory evolution and follow-up showed no recurrence or progression of the dysplasia towards adenocarcinoma.