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...

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Main Authors: Balamurugan Thirunavukkarasu, Asit Ranjan Mridha, Siddharth Yadav, Rajeev Kumar, Shivanand Gamanagatti
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2016-04-01
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
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author Balamurugan Thirunavukkarasu
Asit Ranjan Mridha
Siddharth Yadav
Rajeev Kumar
Shivanand Gamanagatti
author_facet Balamurugan Thirunavukkarasu
Asit Ranjan Mridha
Siddharth Yadav
Rajeev Kumar
Shivanand Gamanagatti
author_sort Balamurugan Thirunavukkarasu
collection DOAJ
description 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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spelling doaj.art-67d18d7212ef4c0eb624519269ee7b182022-12-21T18:10:14ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2016-04-01104ED10ED1210.7860/JCDR/2016/16115.7586Fine Needle Aspiration Cytology Diagnosis of an Urachal AdenocarcinomaBalamurugan Thirunavukkarasu0Asit Ranjan Mridha1Siddharth Yadav2Rajeev Kumar3Shivanand Gamanagatti4Postgraduate Student, Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.Assistant Professor, Department of Pathology, All India Institute of Medical Sciences, New Delhi, India.Postgraduate Student, Department of Urology, All India Institute of Medical Sciences, New Delhi, India.Professor, Department of Urology, All India Institute of Medical Sciences, New Delhi, India.Additional Professor, Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India.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.https://jcdr.net/articles/PDF/7586/16115_CE(RA1)_F(T)_PF1(Vi_Om)_PFA(AK)_PF2(Om_Ru).pdfbladdersignet ring cell adenocarcinomaurachus
spellingShingle Balamurugan Thirunavukkarasu
Asit Ranjan Mridha
Siddharth Yadav
Rajeev Kumar
Shivanand Gamanagatti
Fine Needle Aspiration Cytology Diagnosis of an Urachal Adenocarcinoma
Journal of Clinical and Diagnostic Research
bladder
signet ring cell adenocarcinoma
urachus
title Fine Needle Aspiration Cytology Diagnosis of an Urachal Adenocarcinoma
title_full Fine Needle Aspiration Cytology Diagnosis of an Urachal Adenocarcinoma
title_fullStr Fine Needle Aspiration Cytology Diagnosis of an Urachal Adenocarcinoma
title_full_unstemmed Fine Needle Aspiration Cytology Diagnosis of an Urachal Adenocarcinoma
title_short Fine Needle Aspiration Cytology Diagnosis of an Urachal Adenocarcinoma
title_sort fine needle aspiration cytology diagnosis of an urachal adenocarcinoma
topic bladder
signet ring cell adenocarcinoma
urachus
url https://jcdr.net/articles/PDF/7586/16115_CE(RA1)_F(T)_PF1(Vi_Om)_PFA(AK)_PF2(Om_Ru).pdf
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