Early-Onset Papillary Urothelial Carcinoma: Surgical Precision and Ultrasound Surveillance
Faculty Mentor
Dr. Myka Bussey-Campbell
Location
Savannah Ballroom
Type of Research
Proposed
Session Format
Poster Presentation
College
Waters College of Health Professions
Department
Clinical Sciences
Abstract
Urothelial carcinoma of the bladder is predominantly a disease of the elderly, with a median age of diagnosis of 73 years. Presentation in adults under 40 is exceptionally rare, comprising less than 5% of all cases, and is even less common in African American males. This case study analyzes a 32-year-old African American male with no known environmental risk factors who presented with six months of intermittent gross hematuria and dysuria. Ultrasound imaging revealed an echogenic, spiculated mass located at the left ureterovesical junction (UVJ), raising concern for upper tract obstruction. The patient underwent Transurethral Resection of Bladder Tumor (TURBT), and pathology confirmed Low-Grade Papillary Urothelial Carcinoma, Non-Muscle Invasive (NMIBC). While the oncological prognosis for early-onset NMIBC is favorable, the recurrence rate remains high (30–50% within 5 years). This presentation discusses the unique clinical characteristics of early-onset disease, the critical role of En Bloc surgical technique in preventing tumor seeding, and the challenge of implementing a lifelong surveillance protocol that minimizes radiation exposure in a young survivor.
Keywords: Early-onset urothelial carcinoma, Gross hematuria, NMIBC, TURBT, Surveillance strategies, Ureterovesical junction, Coca-Cola colored urine
Google. (2026, February 5). Generating topic title for transitional cell carcinoma in a young patient [Generative AI chat]. Gemini 2.0 Flash. https://gemini.google.com/
Program Description
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Start Date
4-21-2026 1:30 PM
End Date
4-21-2026 3:30 PM
Recommended Citation
Smith, Hannah Mrs., "Early-Onset Papillary Urothelial Carcinoma: Surgical Precision and Ultrasound Surveillance" (2026). GS4 Student Scholars Symposium. 54.
https://digitalcommons.georgiasouthern.edu/research_symposium/2026A/2026A/54
Early-Onset Papillary Urothelial Carcinoma: Surgical Precision and Ultrasound Surveillance
Savannah Ballroom
Urothelial carcinoma of the bladder is predominantly a disease of the elderly, with a median age of diagnosis of 73 years. Presentation in adults under 40 is exceptionally rare, comprising less than 5% of all cases, and is even less common in African American males. This case study analyzes a 32-year-old African American male with no known environmental risk factors who presented with six months of intermittent gross hematuria and dysuria. Ultrasound imaging revealed an echogenic, spiculated mass located at the left ureterovesical junction (UVJ), raising concern for upper tract obstruction. The patient underwent Transurethral Resection of Bladder Tumor (TURBT), and pathology confirmed Low-Grade Papillary Urothelial Carcinoma, Non-Muscle Invasive (NMIBC). While the oncological prognosis for early-onset NMIBC is favorable, the recurrence rate remains high (30–50% within 5 years). This presentation discusses the unique clinical characteristics of early-onset disease, the critical role of En Bloc surgical technique in preventing tumor seeding, and the challenge of implementing a lifelong surveillance protocol that minimizes radiation exposure in a young survivor.
Keywords: Early-onset urothelial carcinoma, Gross hematuria, NMIBC, TURBT, Surveillance strategies, Ureterovesical junction, Coca-Cola colored urine
Google. (2026, February 5). Generating topic title for transitional cell carcinoma in a young patient [Generative AI chat]. Gemini 2.0 Flash. https://gemini.google.com/
