Hernández Castrillo A, Villanueva Peña A, Diego de Rodríguez E, Colina Martín A, Corral Mones J M
Servicio de Urología, Hospital Comarcal de Laredo, Cantabria.
Actas Urol Esp. 2005 Nov-Dec;29(10):981-4. doi: 10.1016/s0210-4806(05)73381-7.
Tumours of the urinary bladder are rare in pregnancy. We report two such cases presenting with gross hematuria, but one of them was initially mistaken as vaginal bleeding. Patients age was 41 and 27 years old, at 26 and 18 weeks of gestation respectively. Diagnoses were made with cystoscopy and sonography. Tocolytics agents were employed. Both of the tumours were managed succesfully by transurethral electroresection. Raquianesthesia was employed in both. There were no adverse effects on the pregnacies. Transurethral resection is a safe procedure during pregnancy. The pathology diagnoses were inverted papilloma in the first case and papillary urothelial neoplasm of low malignant potential in the other one. The literature is reviewed.
膀胱肿瘤在妊娠期罕见。我们报告两例表现为肉眼血尿的此类病例，但其中一例最初被误诊为阴道出血。患者年龄分别为41岁和27岁，妊娠周数分别为26周和18周。通过膀胱镜检查和超声检查做出诊断。使用了宫缩抑制剂。两例肿瘤均通过经尿道电切术成功治疗。两例均采用区域麻醉。对妊娠无不良影响。经尿道切除术在妊娠期是一种安全的手术。病理诊断第一例为内翻性乳头状瘤，另一例为低恶性潜能乳头状尿路上皮肿瘤。并对文献进行了综述。
