Reddy Depa Anitha, Reddy Beeravalli Rajitha, Bommiti Abhizna, Pawar Sushama
Obstetrics and Gynecology, Fernandez Hospital, Hyderabad, IND.
Radiology, Fernandez Hospital, Hyderabad, IND.
Cureus. 2024 Dec 9;16(12):e75417. doi: 10.7759/cureus.75417. eCollection 2024 Dec.
Urological malignancies during pregnancy are exceedingly rare, with bladder cancer posing significant diagnostic and management challenges. This study describes a 28-year-old pregnant woman diagnosed with non-invasive papillary urothelial carcinoma, presenting with painless hematuria at 22 weeks of gestation. The diagnostic process included ultrasound and MRI, both of which confirmed a solitary polypoidal lesion. Surgical management was performed through transurethral resection of bladder tumor (TURBT) under spinal anesthesia at 24 weeks gestation. Challenges included differentiating hematuria from common pregnancy-related conditions and ensuring fetal safety during diagnostic imaging and surgery. The patient delivered a healthy baby at 37 weeks and remains recurrence-free one-year post-surgery. This study underscores the importance of multidisciplinary care and highlights the need for further research into urological cancers in pregnancy to improve outcomes for both mother and fetus.
孕期泌尿系统恶性肿瘤极为罕见，膀胱癌带来了重大的诊断和管理挑战。本研究描述了一名28岁的孕妇，在妊娠22周时被诊断为非侵袭性乳头状尿路上皮癌，表现为无痛性血尿。诊断过程包括超声和磁共振成像（MRI），两者均证实有一个孤立的息肉样病变。在妊娠24周时，在脊髓麻醉下通过经尿道膀胱肿瘤切除术（TURBT）进行了手术治疗。挑战包括将血尿与常见的妊娠相关情况区分开来，以及在诊断成像和手术期间确保胎儿安全。患者在37周时分娩了一个健康的婴儿，术后一年无复发。本研究强调了多学科护理的重要性，并突出了对孕期泌尿系统癌症进行进一步研究以改善母婴结局的必要性。
