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脐尿管腺癌的一种罕见病因：脐尿管憩室。

A rare cause of urachal adenocarcinoma: urachal diverticle.

作者信息

Ciçek Tufan, Gönülalan Umut, Coban Gökçen, Erinanç Hilal, Koşan Murat

机构信息

Department of Urology, Faculty of Medicine, Başkent University, Hocacihan Mahallesi Saray Caddesi No. 1, Selcuklu, 42080 Konya, Turkey.

出版信息

Case Rep Urol. 2013;2013:571395. doi: 10.1155/2013/571395. Epub 2013 Feb 7.

DOI:10.1155/2013/571395
PMID:23476880
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3580940/
Abstract

Urachus is the remnant of the embryologic allantois and the fetal bladder, extending form the bladder roof to the umbilicus. It degenerates in the prenatal period into a tissue band known as the median umbilical ligament. Incomplete degeneration may lead to urachal diverticle development. It is difficult to diagnose unless it is considered in differential diagnosis and imaging modalities are employed. This paper describes a patient treated with partial cystectomy for urachal diverticle, and the pathologic examination revealed urachal adenocarcinoma.

摘要

脐尿管是胚胎尿囊和胎儿膀胱的残余部分，从膀胱顶部延伸至脐部。它在产前阶段退化为一条称为脐正中韧带的组织带。退化不完全可能导致脐尿管憩室形成。除非在鉴别诊断中考虑到并采用影像学检查方法，否则很难诊断。本文描述了一名因脐尿管憩室接受部分膀胱切除术治疗的患者，病理检查显示为脐尿管腺癌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/810e/3580940/d69a94d20432/CRIM.UROLOGY2013-571395.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/810e/3580940/53bd1771f367/CRIM.UROLOGY2013-571395.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/810e/3580940/5ef987b1b138/CRIM.UROLOGY2013-571395.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/810e/3580940/d69a94d20432/CRIM.UROLOGY2013-571395.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/810e/3580940/53bd1771f367/CRIM.UROLOGY2013-571395.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/810e/3580940/5ef987b1b138/CRIM.UROLOGY2013-571395.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/810e/3580940/d69a94d20432/CRIM.UROLOGY2013-571395.003.jpg

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引用本文的文献

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Wide excision and reconstruction surgery for recurrent sweat gland umbilical adenocarcinoma followed by chemotherapy can prevent the risk of recurrences.复发性汗腺脐腺癌的广泛切除及重建手术，随后进行化疗，可预防复发风险。
BMC Surg. 2018 Oct 12;18(1):85. doi: 10.1186/s12893-018-0421-4.

本文引用的文献

1
Urachal adenocarcinoma with late brain metastases.脐尿管腺癌伴脑转移晚期
Arch Esp Urol. 2010 Sep;63(7):550-4.
2
Predictors of survival from urachal cancer: a Mayo Clinic study of 49 cases.脐尿管癌生存的预测因素：梅奥诊所对49例病例的研究
Cancer. 2007 Dec 1;110(11):2434-40. doi: 10.1002/cncr.23070.
3
Laparoscopic partial cystectomy with en bloc resection of the urachus for urachal adenocarcinoma.腹腔镜下部分膀胱切除术联合脐尿管整块切除治疗脐尿管腺癌。
Int J Urol. 2007 Oct;14(10):963-5. doi: 10.1111/j.1442-2042.2007.01855.x.
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Computed tomographic appearance of urachal carcinoma associated with urachal diverticulum misdiagnosed by cystoscopy.膀胱镜检查误诊的脐尿管憩室相关脐尿管癌的计算机断层扫描表现
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Primary adenocarcinoma of the urinary bladder.原发性膀胱腺癌
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Primary adenocarcinoma of bladder.
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[Cancer of the urachus. A rare form of tumors of the bladder].[脐尿管癌。一种罕见的膀胱肿瘤类型]
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