A Rare Case of Urachal Adenocarcinoma: Long Term Follow Up
Autor: | Ali Reza Khoei, M.R. Darabi, Atena Aghaee, Salman Soltani |
---|---|
Rok vydání: | 2018 |
Předmět: |
Abdominal pain
medicine.medical_specialty medicine.diagnostic_test business.industry Urology Standard treatment medicine.medical_treatment 030232 urology & nephrology medicine.disease Cystectomy 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Signet ring cell carcinoma Biopsy Carcinoma Adjuvant therapy Medicine Radiology medicine.symptom business Macroscopic hematuria |
Zdroj: | Nephro-Urology Monthly. 10 |
ISSN: | 2251-7014 2251-7006 |
DOI: | 10.5812/numonthly.81471 |
Popis: | Introduction: Urachal adenocarcinoma is an invasive and rare bladder carcinoma that usually presents at advances stages with poor prognosis. The symptoms often include abdominal pain and hematuria. The standard treatment method is surgical excision of the tumor and sometimes, in advanced cases, chemotherapy is needed, too. Case Presentation: We present a 35-year-old male patient, who referred with acute onset of painless macroscopic hematuria. Pelvic CT scan showed a large mass on the bladder dome, extending to the umblicus. Biopsy of the mass confirmed that the pathologic diagnosis was urachal adenocarcinoma. The patient was then treated surgically with partial cystectomy approach. Conclusions: Despite microscopic involvement of pelvic lymph nodes, adjuvant therapy was not intended. There were no local recurrence or distant metastasis in long term close follow up. |
Databáze: | OpenAIRE |
Externí odkaz: |