儿童肉眼血尿中的尿路上皮癌：不容忽视的主诉。
Urothelial carcinoma in a child with gross hematuria: a complaint not to be dismissed.
机构信息
Department of Pediatric Surgery, KK Women's and Children's Hospital, Singapore.
Department of Urology, Singapore General Hospital, Singapore
出版信息
BMJ Case Rep. 2021 Dec 1;14(12):e247239. doi: 10.1136/bcr-2021-247239.
Abstract
Hematuria is not uncommonly seen among children. We describe the case of a 13-year-old boy who was diagnosed with urothelial carcinoma after presenting with persistent gross hematuria for 2 weeks. We highlight the importance of adequate workup for gross hematuria as it is often associated with an underlying pathology that could lead to significant morbidity if left undiagnosed.
摘要
血尿在儿童中并不少见。我们描述了一例 13 岁男孩的病例，该男孩因持续 2 周的肉眼血尿就诊，最终被诊断为尿路上皮癌。我们强调了对肉眼血尿进行充分检查的重要性，因为它通常与潜在的病理有关，如果未被诊断出，可能会导致严重的发病率。
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本文引用的文献
1
Urothelial cell carcinoma of the bladder in pediatric patients: a systematic review and data analysis of the world literature.小儿膀胱尿路上皮癌：系统评价和世界文献数据分析。
J Pediatr Urol. 2019 Aug;15(4):309-314. doi: 10.1016/j.jpurol.2019.06.013. Epub 2019 Jun 22.
2
Transitional Cell Carcinoma in the Pediatric Patient: A Review of the Literature.
Urology. 2016 May;91:175-9. doi: 10.1016/j.urology.2015.12.032. Epub 2016 Jan 21.
3
Sterile pyuria.无菌性脓尿
N Engl J Med. 2015 Mar 12;372(11):1048-54. doi: 10.1056/NEJMra1410052.
4
Management and follow-up of urothelial neoplasms of the bladder in children: a report from the TREP project.儿童膀胱尿路上皮肿瘤的管理与随访：TREP项目报告
Pediatr Blood Cancer. 2015 Jun;62(6):1000-3. doi: 10.1002/pbc.25380. Epub 2014 Dec 24.
5
Bladder urothelial neoplasms in pediatric age: experience at three tertiary centers.儿童膀胱尿路上皮肿瘤：三家三级医疗中心的经验
J Pediatr Urol. 2015 Feb;11(1):26.e1-5. doi: 10.1016/j.jpurol.2014.08.008. Epub 2014 Sep 28.
6
Long-term follow-up of transitional cell carcinoma of the bladder in childhood.儿童膀胱移行细胞癌的长期随访
J Pediatr Urol. 2014 Feb;10(1):167-70. doi: 10.1016/j.jpurol.2013.08.002. Epub 2013 Aug 31.
7
Pyuria predicts poor prognosis in patients with non-muscle-invasive bladder cancer.脓尿预示非肌层浸润性膀胱癌患者预后不良。
Clin Genitourin Cancer. 2013 Sep;11(3):331-6. doi: 10.1016/j.clgc.2013.04.002. Epub 2013 May 9.
8
Association between smoking and risk of bladder cancer among men and women.吸烟与男性和女性膀胱癌风险的关联。
JAMA. 2011 Aug 17;306(7):737-45. doi: 10.1001/jama.2011.1142.
9
Urothelial neoplasms of the urinary bladder occurring in young adult and pediatric patients: a comprehensive review of literature with implications for patient management.年轻成人和儿科患者的膀胱尿路上皮肿瘤：文献综合回顾及其对患者管理的影响。
Adv Anat Pathol. 2011 Jan;18(1):79-89. doi: 10.1097/PAP.0b013e318204c0cf.
10
Gross hematuria in children: a ten-year review.儿童肉眼血尿：十年回顾
Urology. 2007 Jan;69(1):166-9. doi: 10.1016/j.urology.2006.10.018.
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