Mucinous adenocarcinoma of urachus: A tailored approach
Vesical adenocarcinomas are uncommon, accounting for less than 2% of all malignant urinary bladder tumors. Of these, urachal adenocarcinoma represents a rare subset. We report a case of a urachal adenocarcinoma, highlighting its unique features and management. A 50-year-old female presented with hem...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2016-01-01
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| Series: | Asian Journal of Oncology |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/2454-6798.180584 |
| _version_ | 1818500554832216064 |
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| author | M. Vijay Kumar Karthik K. Prasad Rahul K. Chaudhary B. Kavitha |
| author_facet | M. Vijay Kumar Karthik K. Prasad Rahul K. Chaudhary B. Kavitha |
| author_sort | M. Vijay Kumar |
| collection | DOAJ |
| description | Vesical adenocarcinomas are uncommon, accounting for less than 2% of all malignant urinary bladder tumors. Of these, urachal adenocarcinoma represents a rare subset. We report a case of a urachal adenocarcinoma, highlighting its unique features and management. A 50-year-old female presented with hematuria and burning micturition. Computed tomography scan showed a mass arising from an outpouching in the apex of bladder, suggestive of urachal origin. Biopsy revealed moderately differentiated mucinous adenocarcinoma. Partial cystectomy with ileocystoplasty, excision of urachus along with umbilicus and pelvic lymph node dissection was done. Histopathology confirmed urachal mucinous adenocarcinoma. The pathogenesis of urachal adenocarcinoma is unknown. It is important to distinguish between urachal and non urachal adenocarcinoma as the former carry a better prognosis. Management of urachal adenocarcinoma involves complete eradication of the disease. Stage and margin status have been identified as the most important predictors of long-term survival. |
| first_indexed | 2024-12-10T20:44:16Z |
| format | Article |
| id | doaj.art-9a3a51474833457f88fdfc401a471968 |
| institution | Directory Open Access Journal |
| issn | 2454-6798 2455-4618 |
| language | English |
| last_indexed | 2024-12-10T20:44:16Z |
| publishDate | 2016-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Asian Journal of Oncology |
| spelling | doaj.art-9a3a51474833457f88fdfc401a4719682022-12-22T01:34:16ZengThieme Medical Publishers, Inc.Asian Journal of Oncology2454-67982455-46182016-01-01020105305510.4103/2454-6798.180584Mucinous adenocarcinoma of urachus: A tailored approachM. Vijay Kumar0Karthik K. Prasad1Rahul K. Chaudhary2B. Kavitha3Department of Surgical Oncology, HCG Bharath Hospital and Institute of Oncology, Mysore, Karnataka, IndiaDepartment of Surgical Oncology, HCG Bharath Hospital and Institute of Oncology, Mysore, Karnataka, IndiaDepartment of Surgical Oncology, HCG Bharath Hospital and Institute of Oncology, Mysore, Karnataka, IndiaDepartment of Oncopathology, HCG Bharath Hospital and Institute of Oncology, Mysore, Karnataka, IndiaVesical adenocarcinomas are uncommon, accounting for less than 2% of all malignant urinary bladder tumors. Of these, urachal adenocarcinoma represents a rare subset. We report a case of a urachal adenocarcinoma, highlighting its unique features and management. A 50-year-old female presented with hematuria and burning micturition. Computed tomography scan showed a mass arising from an outpouching in the apex of bladder, suggestive of urachal origin. Biopsy revealed moderately differentiated mucinous adenocarcinoma. Partial cystectomy with ileocystoplasty, excision of urachus along with umbilicus and pelvic lymph node dissection was done. Histopathology confirmed urachal mucinous adenocarcinoma. The pathogenesis of urachal adenocarcinoma is unknown. It is important to distinguish between urachal and non urachal adenocarcinoma as the former carry a better prognosis. Management of urachal adenocarcinoma involves complete eradication of the disease. Stage and margin status have been identified as the most important predictors of long-term survival.http://www.thieme-connect.de/DOI/DOI?10.4103/2454-6798.180584mucinous adenocarcinomapartial cystectomyurachusvesical adenocarcinoma |
| spellingShingle | M. Vijay Kumar Karthik K. Prasad Rahul K. Chaudhary B. Kavitha Mucinous adenocarcinoma of urachus: A tailored approach Asian Journal of Oncology mucinous adenocarcinoma partial cystectomy urachus vesical adenocarcinoma |
| title | Mucinous adenocarcinoma of urachus: A tailored approach |
| title_full | Mucinous adenocarcinoma of urachus: A tailored approach |
| title_fullStr | Mucinous adenocarcinoma of urachus: A tailored approach |
| title_full_unstemmed | Mucinous adenocarcinoma of urachus: A tailored approach |
| title_short | Mucinous adenocarcinoma of urachus: A tailored approach |
| title_sort | mucinous adenocarcinoma of urachus a tailored approach |
| topic | mucinous adenocarcinoma partial cystectomy urachus vesical adenocarcinoma |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/2454-6798.180584 |
| work_keys_str_mv | AT mvijaykumar mucinousadenocarcinomaofurachusatailoredapproach AT karthikkprasad mucinousadenocarcinomaofurachusatailoredapproach AT rahulkchaudhary mucinousadenocarcinomaofurachusatailoredapproach AT bkavitha mucinousadenocarcinomaofurachusatailoredapproach |