RESUMO
Los tumores vesicales son raros durante la gestación. Presentamos dos casos, en ambos la sintomatología inicial fue hematuria macroscópica, aunque uno de ellos fue inicialmente confundido como sangrado vaginal. Las pacientes tenían una edad de 41 y 27 años, con una edad gestacional de 26 y 18 semanas respectivamente. Los diagnósticos fueron hechos con cistoscopia y ecografía. Se utilizaron agentes tocolíticos. Se practicó resección transuretral de ambos tumores, empleándose una anestesia raquídea. No hubo efectos adversos sobre la gestación. El diagnóstico anatomopatológico fue papiloma invertido en el primer caso y neoplasia urotelial papilar de bajo potencial maligno en el segundo. Se revisa la literatura (AU)
Tumours of the urinary bladder are rare in pregnancy. We report two such cases presenting with gross hematuria, but one of them was initially mistaken as vaginal bleeding. Patients age was 41 and 27 years old, at 26 and 18 weeks of gestation respectively. Diagnoses were made with cystoscopy and sonography. Tocolytics agents were employed. Both of the tumours were managed succesfully by transurethral electroresection. Raquianesthesia was employed in both. There were no adverse effects on the pregnacies. Transurethral resection is a safe procedure during pregnancy. The pathology diagnoses were inverted papilloma in the first case and papillary urothelial neoplasm of low malignant potential in the other one. The literature is reviewed (AU)
Assuntos
Feminino , Gravidez , Adulto , Humanos , Hematúria/etiologia , Neoplasias da Bexiga Urinária/complicações , Complicações Neoplásicas na Gravidez/cirurgia , Tocolíticos/uso terapêutico , Papiloma Invertido/patologia , Urotélio/patologia , Neoplasias da Bexiga Urinária/cirurgiaRESUMO
Tumours of the urinary bladder are rare in pregnancy. We report two such cases presenting with gross hematuria, but one of them was initially mistaken as vaginal bleeding. Patients age was 41 and 27 years old, at 26 and 18 weeks of gestation respectively. Diagnoses were made with cystoscopy and sonography. Tocolytics agents were employed. Both of the tumours were managed succesfully by transurethral electroresection. Raquianesthesia was employed in both. There were no adverse effects on the pregnacies. Transurethral resection is a safe procedure during pregnancy. The pathology diagnoses were inverted papilloma in the first case and papillary urothelial neoplasm of low malignant potential in the other one. The literature is reviewed.
