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良性纤维上皮性膀胱息肉:儿童血尿的罕见病因。

Benign fibroepithelial bladder polyp: a rare cause of childhood haematuria.

作者信息

Agarwal Samarth, Sharma Deepanshu, Pandey Siddharth, Sankhwar Satyanarayan

机构信息

Department of Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

Urology, King George's Medical University, Lucknow, Uttar Pradesh, India.

出版信息

BMJ Case Rep. 2018 Aug 27;2018:bcr-2018-226050. doi: 10.1136/bcr-2018-226050.

Abstract

Haematuria in paediatric population is common yet alarming. It warrants a thorough physical examination and other investigations. Of late, a number of extremely rare aetiology of childhood haematuria have come to forefront. One such uncommon cause is benign fibroepithelial urinary bladder polyp. The presentation is of a child with intermittent haematuria exacerbated by physical/sports activity associated with or without suprapubic pain. Diagnosis is usually made by ultrasonography and cystoscopy and confirmed by histopathological examination. Treatment is surgical and involves cystoscopic transurethral resection of the mass. The exact aetiology of benign fibroepithelial polyp is uncertain with no clear guidelines on long-term surveillance. However, these cases should be subjected to cystourethroscopy if haematuria recurs. Treatment is surgical with good long-term prognosis. Not much is written in literature about benign fibroepithelial bladder polyp.

摘要

小儿血尿很常见,但令人担忧。这需要进行全面的体格检查和其他检查。最近,一些极其罕见的儿童血尿病因已成为关注焦点。其中一种不常见的病因是良性纤维上皮性膀胱息肉。其表现为儿童间歇性血尿,因体力活动/体育活动而加重,可伴有或不伴有耻骨上疼痛。诊断通常通过超声检查和膀胱镜检查,并通过组织病理学检查确诊。治疗方法是手术,包括经尿道膀胱镜肿物切除术。良性纤维上皮性息肉的确切病因尚不确定,对于长期监测也没有明确的指导方针。然而,如果血尿复发,这些病例应接受膀胱尿道镜检查。手术治疗预后良好。关于良性纤维上皮性膀胱息肉,文献中记载不多。

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