脐尿管癌伴寡转移性骨病的多模态治疗

García Alvarez C, González Alvarez R J, Plata Bello A C, Alvarez-Argüelles Cabrera H, Castro Díaz D, Concepción Masip T

Hospital Universitario de Canarias, Spain.

Urol Case Rep. 2019 Jun 14;26:100936. doi: 10.1016/j.eucr.2019.100936. eCollection 2019 Sep.

A 35-year-old male patient was admitted to our hospital for urachal carcinoma with oligometastatic bone disease. He received a surgical resection through the umbilical area, urachal ligament and bladder dome (partial cystectomy) and adjuvant chemotherapy based on cisplatin-gemcitabine regimens together zoledronic acid with a good tolerance, no toxicity. Nine months after surgery, our patient presented no symptoms and the metastasis had been brought under control with no apparent signs of recurrence as assessed in a follow-up CT. To our knowledge, is the first case report of a urachal carcinoma with oligometastatic bone disease who received multimodal therapy, including surgery resection.

一名35岁男性患者因脐尿管癌伴寡转移骨病入住我院。他接受了经脐部区域、脐尿管韧带和膀胱顶部的手术切除（部分膀胱切除术），并基于顺铂-吉西他滨方案联合唑来膦酸进行辅助化疗，耐受性良好，无毒性。术后9个月，患者无症状，转移已得到控制，随访CT评估无明显复发迹象。据我们所知，这是首例接受包括手术切除在内的多模式治疗的脐尿管癌伴寡转移骨病病例报告。