Bladder cancer is rare in the pediatric population, and clear cell carcinoma is extremely rare with one other pediatric case reported. Here we report the clinical outcome for a medically complicated pediatric patient with muscle invasive clear cell carcinoma treated with partial cystectomy without neoadjuvant or adjuvant therapy. Final pathology was stage T2bN0M0 with negative margins. At 2 years, there is no disease recurrence by cystoscopy, chest and abdominal imaging. Postoperative issues have been related to reduced bladder capacity and compliance and the patient is currently managed with continuous urinary diversion and will require future definitive lower tract reconstruction.
Urology case reports. 2019 Jun 20*** epublish ***
Edward C Diaz, Monica G Velasquez, Chia-Sui Kao, Hsi-Yang Wu
Department of Urology, Stanford University Medical Center, 300 Pasteur Drive, RM-S-287, Grant Building, 2nd Floor, Stanford, CA, 94305, USA., Department of Pathology, Stanford University Medical Center, 300 Pasteur Drive, RMH1402, MC 5626, Stanford, CA, 94305, USA.