Nephrogenic adenoma is a rare epithelial urothelial metaplasia, occurring frequently in males in the 4th decade of life. We report a case of nephrogenic bladder adenoma occurring in a pre-puberal patient; to date only 19 other cases of nephrogenic adenoma occurring at pre-puberal age have been described. After endoscopic resection, the patient received an early single endoluminal dose of epirubicin, suspecting a urothelial carcinoma; after 7 years no relapses have occurred.
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