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Urothelial carcinoma is a very rare malignancy in the pediatric population. In spite of the extremely low amount of published cases, the incidence rate is between 0.4 and 0.1% before the age of 20. Insomuch that only less than 30 cases have been reported in the first decade. Those tumors were mostly solitary, non-invasive, with low-risk of progression and recurrence rate compared to adult-onset form. In this case report, we aim to discuss the diagnosis and treatment of a 10-year-old male patient with urothelial carcinoma of bladder who admitted to our clinic., Competing Interests: The authors declare no conflict of interests., (© 2020 Published by Elsevier Inc.)