Kojima Shin-ichiro, Yagi Minoru, Asagiri Kimio, Fukahori Suguru, Tanaka Yoshiaki, Ishii Shinji, Saikusa Nobuyuki, Koga Yoshinori, Yoshida Motomu, Masui Daisuke, Komatsuzaki Naoko, Nakagawa Shin-ichiro, Ozono Shuichi, Tanikawa Ken
Department of Pediatric Surgery, Kurume University School of Medicine, 67 Asahi-machi, Kurume, Fukuoka 830-0011, Japan.
Pediatr Surg Int. 2013 Jul;29(7):753-7. doi: 10.1007/s00383-013-3305-9. Epub 2013 Mar 31.
Malignant tumors of the urinary bladder in infants are extremely rare. Rhabdomyosarcoma is the most likely tumor in this site, whereas neuroblastoma of the urinary bladder is exceedingly uncommon and is not listed as a differential diagnosis for tumors of this site. We present a case of neuroblastoma arising from the dome of the bladder wall, detected by hematuria. Only six cases of neuroblastoma originating from the bladder, including the present case have been reported. Of the cases, five arose from the dome of the bladder wall. In this report, the differential diagnosis of bladder tumors in children is discussed. A diagnosis of neuroblastoma should be taken into consideration, especially in the case of tumors arising from the dome of the bladder wall despite an uncommon location.
婴儿膀胱恶性肿瘤极为罕见。横纹肌肉瘤是该部位最常见的肿瘤,而膀胱神经母细胞瘤极为罕见,并未被列为该部位肿瘤的鉴别诊断之一。我们报告一例膀胱壁顶部发生的神经母细胞瘤,由血尿检出。包括本例在内,仅报告过6例起源于膀胱的神经母细胞瘤。其中5例起源于膀胱壁顶部。本报告讨论了儿童膀胱肿瘤的鉴别诊断。即使位置不常见,对于起源于膀胱壁顶部的肿瘤,尤其应考虑神经母细胞瘤的诊断。