Fine Needle Aspiration Cytology Diagnosis of an Urachal Adenocarcinoma
Urachal Carcinoma (UC) is a rare malignancy of urinary bladder. It is usually found in adults in advanced stages because the tumour often grows outside the bladder without producing clinical symptoms. Most of the cases are mucinous, intestinal or signet ring cell adenocarcinoma and the diagnosis i...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2016-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/7586/16115_CE(RA1)_F(T)_PF1(Vi_Om)_PFA(AK)_PF2(Om_Ru).pdf |
| Summary: | Urachal Carcinoma (UC) is a rare malignancy of urinary bladder. It is usually found in adults in advanced stages because the tumour
often grows outside the bladder without producing clinical symptoms. Most of the cases are mucinous, intestinal or signet ring cell
adenocarcinoma and the diagnosis is usually made on biopsy. Radiographic images of this tumour may show characteristic features with
a midline solid or cystic mass in the anterior wall of bladder associated with small calcification, which is considered as a pathognomonic
sign for the diagnosis of UC. We report a case of UC in an adult, whose radiographic images suggested an urachal tumour and Fine
Needle Aspiration (FNA) cytology revealed an adenocarcinoma. Laparoscopic partial cystectomy with umbilectomy and pelvic node
dissection was done without further histopathological confirmation. Surgical intervention of UC on the basis of FNA diagnosis has not
been reported in the literature. |
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| ISSN: | 2249-782X 0973-709X |