Successful Treatment of Non-invasive Bladder Cancer During Pregnancy: Diagnostic and Management Challenges.

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.
Competing Interests: Human subjects: Consent for treatment and open access publication was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Reddy Depa et al.)