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Rare Case of a Bladder Cancer in an 18-Year-Old Male Patient

Alexandar Byankov, Teodor Tsanev, Vasil Ivanov

Abstract

Introduction: The abstract presents a rare case of bladder cancer diagnosed in an 18-year-old male patient. Bladder cancers are extremely rare in the young population below 20 years of age with probability of occurrence 1:180 000. The case is especially rare for patients who have not been exposed to chemotherapy, cytostatic treatment, bladder augmentation surgery, and other known risk factors. By presenting the case, the abstract aims to raise awareness in the medical community of how to recognize such rare cases.

Materials and Methods: The 18-year-old patient is a healthy and active male who had neither ever smoked or drunk, nor had he been exposed to industrial chemicals.

The patient arrived with urine examination tests confirming pink hue in the urine (haematuria). He reported intermittent burning sensation when urinating persisting for a year; sometimes experiencing passing frequent, small amounts of urine; and persistent urge to urinate without the ability to do so. The physical examination, ultrasound and scanner of the bladder and the kidneys, showed the existence of а 2x2cm tumor on the left bladder wall. The patient was referred for endoscopic cystoscopy that confirmed the location and size of the tumor. The histology revealed papillary transitional cells with exophytic growth and structure of 3-4 cm. The macroscopic analysis results were also typical for transitional papillary carcinoma.

As a result, a resection with bipolar KARL STORZ resectoscope with successive coagulation of the working field was performed. The resected material was extracted and treated with 10%formalin reduction. Additional urofluxometria was performed 24 h after the intervention and it confirmed the good results.

Results and Conclusion: The clinical case presents a confirmation that the endoplasmic processes of the bladder can develop without the existence of predisposing factors and regardless of the age of the patient. Despite the inconclusive patient symptoms, bladder cancer must be suspected in the event of macroscopic haematuria.


Keywords

bladder cancer, hematuria, rare case, endoscopy, cystoscopy


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