Primary urachal adenocarcinoma treated effectively with surgery and post operative chemoradiation therapy: Case Report with review of the literature

Abstract

Urachal carcinomas is a rare and aggressive tumor, accounting for less than 1% of all bladder cancers. We report a case of a 32-year-old man, with no past medical history, complaining of a total hematuria. The abdominal computed tomography scan revealed an exophytic mass of 3 cm on the dome of the bladder, extending to the urachus. The computed tomography scan of chest, abdomen and pelvis did not show neither regional or distant metastasis. Partial Cystectomy with umbilectomy was performed. Histopathology was in favor of urachal adenocarcinoma, classed pT3a, based on Sheldon's staging system, pT2b based on Mayo system, and pT2 based on Ontario system.

Rare case of enteric type of urachal adenocarcinoma: A case report

“…It has an average length of 5–5.5 cm and is positioned between the transversalis fascia in the front and the parietal peritoneal layer in the back. Later in pregnancy, it spontaneously involutes into the median umbilical ligament, a fibrous cord 1 , 2 , 3 , 4 Partial involution might be observed in approximately 32 % of adults and although rarely, might be associated with various neoplasms the vast majority of which of epithelial origin. The remaining epithelium is typically composed of urothelial cells, however the majority of urachal carcinomas are of glandular type.…”