Intra-abdominal mucinous adenocarcinoma of urachal origin: report of a case
| Autor: | Kotaro Hirashima, Ken Ichi Iyama, Shuichi Kume, Ryojin Uchino, Hideo Baba, Yumi Honda, Tsuguharu Asato |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
Male
Pathology medicine.medical_specialty CA-19-9 Antigen medicine.medical_treatment Cystectomy Abdominal wall Carcinoembryonic antigen Surgical oncology Laparotomy medicine Biomarkers Tumor Humans Abdomen Acute Aged 80 and over Urinary bladder biology business.industry General Medicine medicine.disease Adenocarcinoma Mucinous Magnetic Resonance Imaging Carcinoembryonic Antigen medicine.anatomical_structure Urinary Bladder Neoplasms biology.protein Adenocarcinoma Surgery business Tomography X-Ray Computed Calcification |
| Zdroj: | Surgery today. 44(6) |
| ISSN: | 1436-2813 |
| Popis: | Intra-abdominal mucinous cystic tumors can be difficult to diagnose preoperatively. We report a case of histologically diagnosed primary urachal adenocarcinoma: a rare type of bladder tumor. This case report is interesting for clinicians. The patient was an 86-year-old man who presented with acute abdominal pain. Computed tomography (CT) showed a large cystic mass with calcification, near the apex of the urinary bladder. Laparotomy revealed a large intra-abdominal cystic mass adherent to the anterior abdominal wall and superior to the urinary bladder. We performed laparoscopic-assisted resection and partial cystectomy. The cystic mass measured approximately 15 × 14 × 11 cm and contained mucinous material. Histological examination revealed that it extended to the muscle of the bladder wall and that its epithelium was composed of atypical cells with increased papillary morphology. The mucinous material was glycoprotein with degenerative fatty tissue, and calcification was recognized partly in the specimen. Thus, we comprehensively diagnosed a mucinous cystic adenocarcinoma of urachal origin. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink