Bullous Cystitis vs. Rhabdomyosarcoma, Bladder
Left picture: In this infant, not a bladder malignoma is present, but a specific type of cystitis; notice the age and symptomatology of the patient. Nevertheless, a biopsy is necessary. Right picture: Here, a botryosarcoma of the bladder is present which was confirmed by histology, and which is a type of rhabdomyosarcoma occurring in childhood. Age: 70 % of the children with rhabdomyosarcoma are younger than 10 years, and its symptomatology is often different from that of the pathology in the contralateral picture. If the same changes are visible also from the outside, for instance at the external urethral orifice or at the introitus of the vagina, a malignancy is almost certain.
Left picture: Endoscopic picture of a 14.5-year-old girl with microscopical and gross hematuria as well as dysuria, pollakiuria and stress incontinence. Multiple polypous changes of the bladder wall are visible, differing in size. Right picture: Endoscopic picture of an infant with hematuria, disorders of bladder voiding and intermittent abdominal colics. In the bladder multiple polypous masses of different size are recognizable which protrude in the bladder lumen.