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脐尿管交界性黏液性囊腺瘤:一例罕见病例报告及文献复习

Urachal borderline mucinous cystadenoma: A rare case report and literature review.

作者信息

Wu Jingjun, Liu Ailian, Chen Anliang, Zhang Pengxin

机构信息

Department of Radiology Department of Pathology, the First Affiliated Hospital of Dalian Medical University, Dalian Shi, Liaoning Sheng, China.

出版信息

Medicine (Baltimore). 2017 Nov;96(47):e8740. doi: 10.1097/MD.0000000000008740.

Abstract

RATIONALE

Urachal borderline mucinous cystadenoma is very rare and has only 9 cases in the current literature with the biological behavior between adenoma and adenocarcinoma.

PATIENT CONCERNS

We reported a 41-year-old man with moderate lower abdominal pain, and the imaging examination found an irregular cystic lesion extending from umbilicus to the dome of urinary bladder with significant separations and calcifications.

DIAGNOSES

The diagnosis was confirmed according to the specific anatomical location and pathological examination which was proved as mucinous cystadenoma with low malignant potential.

INTERVENTIONS

The patient undertook radical excision and partial cystectomy.

OUTCOMES

His postoperative condition was good.

LESSONS

Urachal borderline mucinous cystadenoma can be located by image examination, which may also offer several diagnostic tips according to separation, calcification, and enhancement in computed tomography scan. When combined with pathological findings, qualitative diagnosis can be determined. Surgical resection should be chosen as an optimal treatment. Our present study reviewed the clinical and biological information of all previous cases which were diagnosed as urachal borderline mucinous cystadenoma and we supplemented more data for further study.

摘要

理论依据

脐尿管交界性黏液性囊腺瘤非常罕见,目前文献中仅有9例报道,其生物学行为介于腺瘤和腺癌之间。

患者情况

我们报告了一名41岁男性,有中度下腹部疼痛,影像学检查发现一个不规则囊性病变,从脐部延伸至膀胱顶部,有明显分隔和钙化。

诊断

根据特定的解剖位置和病理检查确诊,病理检查证实为低恶性潜能黏液性囊腺瘤。

干预措施

患者接受了根治性切除和部分膀胱切除术。

结果

他术后情况良好。

经验教训

脐尿管交界性黏液性囊腺瘤可通过影像学检查定位,根据计算机断层扫描中的分隔、钙化和强化情况,影像学检查还可提供一些诊断线索。结合病理结果可确定定性诊断。手术切除应作为最佳治疗方法。我们目前的研究回顾了所有先前诊断为脐尿管交界性黏液性囊腺瘤病例的临床和生物学信息,并补充了更多数据以供进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d72b/5708964/d2da462178e3/medi-96-e8740-g001.jpg

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