Bladder cancer in the second trimester of pregnancy: tough decisions. A case report with review of the literature

Lakmichi, Mohamed Amine; Zehraoui, R.; Dahami, Z.; Moudouni, S.; Bassir, Amal; Soumani, A.; Sarf, I.

doi:10.1177/1756287212441961

Cited by 11 publications

(10 citation statements)

References 6 publications

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“…In our case, however, symptoms appeared during third trimester and persisted during pregnancy. Although during pregnancy the symptoms of the patient generally disappear due to endocrinal reasons and decidualization [4] , in our case the decidualization and the mechanical trauma due to stromal development in the bladder nodule might be themselves have triggered the symptoms of hematuria and dysuria.…”

Section: Discussionmentioning

confidence: 57%

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A case of bladder endometriosis that became symptomatic during the third trimester

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et al. 2015

Case Reports in Women's Health

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BackgroundThe urinary tract endometriosis is observed in 1–2% of the patients and in 90% of these cases, there are endometriotic nodules in the bladder. With respect to knowledge, it is generally believed that pregnancy cures endometriosis. However in this case, symptoms developed during the third trimester of pregnancy.Case reportWe report a case of 31 year old, 30 week pregnant woman with a vegetative mass with 33 × 33 × 21 mm dimensions and irregular borders on the posterior wall of the bladder. After the cesarean section, the vegetative and superiorly localized mass on the internal wall of the bladder was excised with partial bladder excision. The patient had no other apparent findings of pelvic endometriosis at operation but the pathology result indicated endometriosis.ConclusionAlthough this case shows that endometriosis may become symptomatic during pregnancy, it has to be underlined that it cannot be discerned whether it is consequent to progress of the disease or to pregnancy-mediated modifications of a pre-existing lesion.

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Section: Discussionmentioning

confidence: 57%

“…The urinary tract endometriosis is observed in 1–2% of the patients and in 90% of these cases there are endometriotic nodules in the bladder [1] , [2] . Patients with bladder endometriosis may have many non-specific symptoms that make timely diagnosis difficult [3] , [4] .…”

Section: Introductionmentioning

confidence: 99%

A case of bladder endometriosis that became symptomatic during the third trimester

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et al. 2015

Case Reports in Women's Health

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“…Consideration of biopsy before tumor resection will not alter management protocol even in pregnancy as suggested in a report where a review of literature failed to find any evidence that pregnancy has deleterious effects on the incidence or clinical course of malignancy compared with that in nonpregnant women of reproductive age, except in the case of malignant melanoma [22]. By extension, this suggests that pregnancy should not alter management protocol in any way be it benign or malignant and as such every tumor should be treated in the same way.…”

Section: Discussionmentioning

confidence: 99%

“…In our case and in most other cases where bladder tumor was found to co-exist with pregnancy, Transurethral resection of the tumor was the primary treatment regardless of the trimester and treatment was never delayed due to pregnancy. A review of different literature has shown the safety of Transurethral resection of bladder tumor under regional or general anaesthesia at any time during pregnancy [22][23][24][25][26][27].…”

Section: Discussionmentioning

confidence: 99%

Aggressive Angiomyxoid Tumour - A Very Rare Pathologic Finding in the Urinary Bladder Co-existing with Pregnancy

Obi-Njoku¹,

Coscione²,

Hiten³

2017

Int Arch Urol Complic

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The bladder is an uncommon site for an aggressive Angiomyxoid tumour. We present a case of a 23-year-old primigravida who suffered no urinary symptoms and was referred due to an incidental bladder finding on ultrasound scan and went on to have a rigid cystoscopy and resection of lesion which was confirmed by histology to be an aggressive Angiomyxoid tumour. We include a review of most recent literature, and propose that, even in pregnancy, aggressive Angiomyxoid tumours can be appropriately managed by surgical excision and surveillance cystoscopy.

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“…6,11 Certainly, gold standard in the diagnosis of bladder tumor is cystoscopy performed under local anesthesia even if the patient is pregnant. 12 Although it is known that since most of the bladder tumors diagnosed by cystoscopy are superficial, they can be effectively treated with transurethral resection at any time during pregnancy however, some studies report that treatment can be delayed until post partum period particularly in low grade bladder tumors. 6,13 Resection of bladder tumor by using bipolar resectoscope during pregnancy did not cause any intraoperative or postoperative fetal repercussions.…”

Section: Discussionmentioning

confidence: 99%

A Rare Bladder Tumor in a Young Pregnant Woman: Case Report

Öğreden¹,

Guner²,

Demirelli³

et al. 2015

Turkiye Klinikleri J Urology

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ccording to American Cancer Society (ACS) data, rate of new cases with urothelial carcinoma is 6% in men and 2% in women, while urothelial carcinomas rank 4 th place in all cancers in men and 9 th place in women. 1,2 In a recent study it was reported that the bladder tumor incidence increased with the decrease of the age of first pregnancy and parity.3 Although there are data suggesting that bladder tumors in women tend to be more advanced stage at the time of the diagnosis and recurrence and progression rates are higher compared to men, our knowledge on incidence and clinical course of urothelial carcinoma in pregnancy is limited to a few simultaneous cases. With the opinion that bladder might be fragile secondary to hormonal changes in pregnancy, we aimed to share the result of bipolar resection technique that we used considering localization of the tumor.Turkiye Klinikleri J Urology 2015;6(2) 49 A Rare Bladder Tumor in a Young Pregnant Woman: Case Report A AB BS S T TR RA AC CT T Urothelial cancers, most common tumors of urinary system, are frequently localized in the bladder. These tumors which are generally detected at superficial phase and have papillary structure can be also rarely seen during pregnancy. Our knowledge on time and method of the treatment about this extremely rare situation is rather limited. We share the results of bipolar transurethral resection technique that we applied in a thirteen weeks pregnant patient with papillary urothelial carcinoma which we had diagnosed through clinical and ultrasonographic findings.K Ke ey y W Wo or rd ds s: : Urinary bladder neoplasms; pregnancy; hematuria; cytology Ö ÖZ ZE ET T Üriner sistemin en sık gözlenen tümörü olan ürotelyal kanserler sıklıkla mesanede yerleşirler. Genellikle yüzeyel aşamada saptanan ve papiller vasıflı olan bu tümörler çok nadiren gebelikte de saptanabilmektedir. Bu son derece nadir durumda tedavinin zamanı ve yöntemi konusundaki bilgilerimiz nispeten sınırlıdır. Biz de on üç haftalık gebe bir hastada klinik ve ultrasonografik bulgularla tespit ettiğimiz papiller ürotelyal karsinom olgusunda uyguladığımız bipolar transüretral rezeksiyon tekniğinin sonuçlarını paylaştık.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : Mesane neoplazileri; gebelik; hematüri; sitoloji T Tu ur rk ki iy ye e K Kl li in ni ik kl le er ri i J J U Ur ro ol lo og gy y 2 20 01 15 5; ;6 6( (2 2) ): :4 49 9--5 52 2

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Bladder cancer in the second trimester of pregnancy: tough decisions. A case report with review of the literature

Cited by 11 publications

References 6 publications

A case of bladder endometriosis that became symptomatic during the third trimester

A case of bladder endometriosis that became symptomatic during the third trimester

Aggressive Angiomyxoid Tumour - A Very Rare Pathologic Finding in the Urinary Bladder Co-existing with Pregnancy

A Rare Bladder Tumor in a Young Pregnant Woman: Case Report

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