Donate Moreno M J, Giménez Bachs J M, Salinas Sánchez A S, Lorenzo Romero J G, Segura Martín M, Hernández Millán I, Pastor Guzmán J Maria, Ruiz Mondéjar R, Virseda Rodríguez J
Servicio de Urología, Complejo Hospitalario y Universitario de Albacete, Albacete.
Actas Urol Esp. 2005 Mar;29(3):332-6. doi: 10.1016/s0210-4806(05)73249-6.
With the use of these two clinical cases (cyst and urachal adenocarcinoma) we did an overview of the urachal pathology. The urachus cyst is usually asyntomathic, it's detected randomly when we do other diagnostic tests or when we have any complications. The urachal adenocarcinoma is a rare pathology, it usually exhibit hematuria and we need to follow the same diagnostic tools as we use in vesical tumors (cystoscopy and transurethral vesical resection). Adenocarcinoma of the dome of the bladder is the main differential diagnosis. Partial cystectomy is the first choice treatment. Quimiotheraphy and radiotheraphy offer poor results.
通过这两个临床病例(脐尿管囊肿和脐尿管腺癌),我们对脐尿管病理学进行了概述。脐尿管囊肿通常无症状,在进行其他诊断检查或出现并发症时偶然被发现。脐尿管腺癌是一种罕见的病理学情况,通常表现为血尿,我们需要采用与膀胱肿瘤相同的诊断方法(膀胱镜检查和经尿道膀胱切除术)。膀胱顶部腺癌是主要的鉴别诊断。部分膀胱切除术是首选治疗方法。化疗和放疗效果不佳。