Transitional cell papilloma of the bladder in childhood is exceedingly rare, with less than 140 cases reported. A 12 years-old girl with microhaematuria without any other urinary or systemic symptom showed at US scan an endovesical structure, 20 x 20 x 13 mm, located in the right posterolateral aspect of the bladder, turned out to be at biopsy a bladder papilloma grade 0. Endoscopic removal of the papilloma together with its implantation area was performed. Follow-up negative at > 2 yrs from diagnosis. Our patient’s mother is a house worker dealing with volatile shoe adhesives, to which the girl has been exposed since birth: a relationship to this fact seems highly probable. Epithelial bladder tumours in children usually behave as benign tumours and do not relapse, therefore not justifying, in our opinion, the need of a formal partial cistectomy but allowing a more conservative approach such as endoscopic removal.
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