medigraphic.com
Organo Oficial de la Sociedad Mexicana de Urología

2025, Number 1

<< Back Next >>

Rev Mex Urol 2025; 85 (1)

Management of bladder fibroepithelial polyps in pediatric patients in a second level hospital

Chaidez-Mendivil M, Romero-Uribe JL, Aguilar-Enríquez I, Camacho-Castro AJ

Language: Spanish
References: 9
Page: 1-9
PDF size: 485.22 Kb.


ABSTRACT

Background: they are benign mesodermal tumours, rarely found in babies and children. The etiology is still unknown. These lesions are often seen in the renal pelvis and distal ureter. In addition to hematuria. They are often congenital in children, while in adults they are caused by inflammation, chronic irritation and infection. They manifest in children with an average age of 9 years and have a strong male predominance.
Clinical case: a 11-year-old female patient comes to the clinic due to dysuria, urinary urgency and hematuria, for 3 weeks, with pain in the pelvic region, she denies other associated symptoms. A renal bladder ultrasound reported an exophytic lesion, pathological general urine test, simple and contrast-enhanced tomography with excretory phase with a tumor measuring 3.2 x 2.8 x 2.8 cm, transurethral resection of bladder tumour without complications.
Clinical implications: histopathological result is reported which describes without evidence of malignancy, a multifragmentation fibroepithelial polyp, a benign condition with a favorable evolution.
Conclusions: hematuria is the most common symptom. The differential diagnosis between bladder carcinoma and polyps is difficult. Pathology is the means to differentiate between these two conditions. For treatment, transur ethral resection is the most effective operation.


REFERENCES

  1. Zhu S, He L, Zheng C, Hou Y. Bladder mulberrylikefibroepithelial polyp with calcification andsquamous cell metaplasia mimicking bladdercarcinoma: case report and literature review.The Journal of International Medical Research. 2020;48(1): 300060519896911. https://doi.org/10.1177/0300060519896911.

  2. Keçeli AM, Dönmez Mİ, Kılınç ANU.Fibroepithelial Polyp at the Bladder NeckPresenting with Gross Hematuria in a 5-Year-Old Boy. Journal of Endourology Case Reports.2020;6(3): 107–109. https://doi.org/10.1089/cren.2019.0125.

  3. Shelmerdine SC, Lorenzo AJ, Gupta AA,Chavhan GB. Pearls and Pitfalls in DiagnosingPediatric Urinary Bladder Masses. Radiographics:A Review Publication of the Radiological Societyof North America, Inc. 2017;37(6): 1872–1891.https://doi.org/10.1148/rg.2017170031.

  4. Powała A, Hanecki R, Kuzaka B, Górnicka B,Radziszewski P. Fibroepithelial polyp of theurinary bladder. Case report. Nowotwory. Journalof Oncology. 2015;65(4): 317–319.

  5. Agarwal S, Sharma D, Pandey S, SankhwarS. Benign fibroepithelial bladder polyp: a rarecause of childhood haematuria. Case Reports.2018;2018: bcr. https://doi.org/10.1136/bcr-2018-226050.

  6. Rousseau S, Peycelon M, Grosos C, BidaultV, Poupalou A, Martin G, et al. Managementof lower urinary tract fibroepithelial polyps inchildren. Journal of Pediatric Surgery. 2021;56(2):332–336. https://doi.org/10.1016/j.jpedsurg.2020.05.030.

  7. Akarken İ, Tarhan H, Dere Y, Deliktaş H, ŞahinH. Mysterious visitor in the bladder: Ureteralfibroepithelial polyp. Archivos Espanoles DeUrologia. 2021;74(3): 359–362.

  8. Kim JY, Yu JH, Sung LH, Kim HJ, Cho DY.Ureteral fibroepithelial polyp protruding intothe bladder which mimics a bladder tumour: acase report and literature review. TranslationalAndrology and Urology. 2022;11(5): 720–726.https://doi.org/10.21037/tau-21-1041.

  9. Li L, Weiss RE, Heller D. Fibroepithelial stromalpolyp of bladder-a mimicker of sarcoma orangiomyxoma at uncommon location. AmericanJournal of Clinical and Experimental Urology.2023;11(4): 348–351.




2020     |     www.medigraphic.com