Urachal carcinoma is a rare and aggressive form of bladder cancer involving the urachus, a fibrous remnant of the allantois that extends from the bladder to the umbilicus. We report this case of a 49-year-old women with primary urachal adenocarcinoma treated with partial cystectomy who relapsed 5 years after surgery with lung metastases. This patient with unremarkable medical history presented with abdominal discomfort and a palpable pelvic mass. Follow-up imaging reveals a large mass on the dome of the bladder extending from the urachus. Subsequent ultrasound-guided biopsy result was suggestive of an urachal mucinous adenocarcinoma. The patient was treated surgically with a partial cystectomy.
E-Healthcare services show promising solutions to reduce patients' life risk with improving the provided services along with being cost effective. This paper presents Chronic Disease Recommender System that assists patients to monitor and control their cases through suggesting medical advices and diagnosis. For the system to be accurate, which is vital in such application, it needs to work with high-dimensional data. This work proposed Integrated Collaborative Filtering framework that reduces the complexity and improves the response time of highdimensional data to develop recommender system. The paper concluded with presenting and discussing real case study with real medical data on providing medical advices for diabetes.
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