A Case of Urachal Carcinoma

Abstract

Urachal carcinoma is a rare, non-urothelial carcinoma that represents less than one percent of all bladder cancers. We present the case of a 58-year-old man who presented with the acute onset of painless hematuria. Cystoscopy revealed a bladder mass, and subsequent biopsy of a liver mass confirmed the diagnosis of metastatic urachal adenocarcinoma. The patient initially underwent a chemotherapeutic regimen of 5-fluorouracil, leucovorin, gemcitabine, and cisplatin (GEM-FLP) given every four weeks. Our case illustrates the importance of recognizing and diagnosing urachal carcinoma correctly since the therapeutic options differ compared to traditional urothelial cancers.

Rare presentation of urachal adenocarcinoma with skip metastasis to colon

“…recently treated a case of metastatic urachal adenocarcinoma with a novel regimen (Gem-FLP: 5-FU, leucovorin, gemcitabine, and cisplatin) and showed regression in the size of liver lesions in the interval imaging post 4 cycles of chemotherapy. [ 6 ] However, the patient progressed within 2 months posttreatment completion.…”