Author:
Scabini Stefano,Rimini Edoardo,Romairone Emanuele,Scordamaglia Renato,Vallarino Luigi,Giasotto Veronica,Ferro Carlo,Ferrando Valter
Abstract
Abstract
Background
Urachal carcinoma is an uncommon neoplasm associated with poor prognosis.
Case presentation
A 45-year-old man was admitted with complaints of abdominal pain and pollakisuria. A soft mass was palpable under his navel. TC-scan revealed a 11 × 6 cm tumor, which was composed of a cystic lesion arising from the urachus and a solid mass component at the urinary bladder dome. The tumor was removed surgically. Histological examination detected poor-differentiated adenocarcinoma, which had invaded the urinary bladder. The patient has been followed up without recurrence for 6 months.
Conclusion
The urachus is the embryological remnant of urogenital sinus and allantois. Involution usually happens before birth and urachus is present as a median umbilical ligament. The pathogenesis of urachal tumours is not fully understood. Surgery is the treatment of choice and role of adjuvant treatment is not clearly understood.
Publisher
Springer Science and Business Media LLC
Cited by
25 articles.
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