| kaihua liu,Hongqiang wang,Lei Yu,Peitao Wang,Zhijun Liu,Lijiang Sun,Hongsheng Yu,Shenqian Li. Primary urachal adenocarcinoma: a rare case report. Oncol Transl Med, 2017, 3: 267-269. |
| Primary urachal adenocarcinoma: a rare case report |
| Received:December 07, 2017 Revised:January 05, 2018 |
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| KeyWord:urachal tumor; urachus; bladder cancer; therapy |
| Author Name | Affiliation | E-mail | | kaihua liu | The Medical College of Qingdao University, Qingdao 266071, China | 1099791031@qq.com | | Hongqiang wang | Department of Andrology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China | | | Lei Yu | Department of Andrology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China | | | Peitao Wang | Department of Andrology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China | | | Zhijun Liu | Department of Clinical Laboratory, The Affiliated Hospital of Qingdao University,Qingdao 266003, China | | | Lijiang Sun | Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China | | | Hongsheng Yu | Department of Oncology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China | | | Shenqian Li | The Affiliated Hospital of Qingdao University | lishenqian@126.com |
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| Abstract: |
| Primary urachal carcinoma is a very rare cancer with a poor prognosis. It generally presents as a highgrade,
high-stage tumor, and in most cases the patient has developed regional or distant metastasis
at the time of presentation. Here, we report a very interesting case of primary urachal adenocarcinoma
with signet ring cell carcinoma in a 58-year-old male who presented with a lower abdominal mass and
discomfort. In this case, urachal carcinoma was successfully treated with surgery using an extended partial
bladder cystectomy approach with excision of the urachal mass and umbilicus. The patient also underwent
systematic chemotherapy with 5-fluorourical and cisplatin. During the 12-month follow-up period, the patient
did not experience recurrence or metastasis. Overall, we found that an organ preserving extended partial
cystectomy along with chemotherapy was an optimal treatment method that helped improve the patient’s
quality of the life with no recurrence of cancer so far. |
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