Invasive mucinous urachal adenocarcinoma: A case report of surgical management and insights from the literature
Year: 2024
Type: article
Study design: Case Report
Abstract: INTRODUCTION AND IMPORTANCE: Urachal carcinoma (UrC) is a rare bladder malignancy originating from the urachus. Comprising around 90 % adenocarcinomas, most cases are invasive. Urachal adenocarcinoma is less common than its non-urachal counterpart and is recognized for its aggressive nature, often diagnosed at advanced stages with a poor prognosis. Early stages typically present as asymptomatic, making timely diagnosis challenging. CASE PRESENTATION: We present the case of a 58-year-old female who exhibited painless hematuria, leading to further investigation. The definitive diagnosis of invasive mucinous urachal adenocarcinoma was established through cystoscopy and transurethral resection of bladder tumor (TURBT). Surgical intervention was undertaken to manage the condition. CLINICAL DISCUSSION: The gold standard treatment for muscle-invasive UrC is radical cystectomy. This case underscores the importance of recognizing urinary symptoms and utilizing appropriate diagnostic procedures to identify this rare malignancy early. The surgical approach is crucial in improving patient outcomes, especially in advanced cases. CONCLUSION: Invasive mucinous urachal adenocarcinoma is a rare but aggressive cancer that requires prompt diagnosis and intervention. Surgical management proved effective in this case, emphasizing the need for awareness and regular follow-up in patients to monitor for recurrence.
Authors: Manar Shukri Jaber, Sondos Mojahed, Bayan Abu Rajab, Rahaf Yousef Shalodi, Khalil N.M. Abuzaina, Jamal Ata Jaber
Institutions: Palestine Polytechnic University, Hebron University
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,800
OpenAlex ID: W4403842892