Kouhen Fadila, Chihabeddine Meriem, Dahbi Zineb, Benali Imane, Damou Meriem, Benslima Nejwa, Haddat Abdeljalil, Errafiy Nadia, Mahi Mohammed, Rabii Radouane
Department of Radiotherapy, Mohammed VI University of Health Sciences(UM6SS), International University Hospital Sheikh Khalifa, Casablanca, Morocco.
Department of Medical Oncology, Mohammed VI University of Health Sciences(UM6SS), International University Hospital Sheikh Khalifa, Casablanca, Morocco.
Radiol Case Rep. 2021 Jun 16;16(8):2252-2255. doi: 10.1016/j.radcr.2021.04.084. eCollection 2021 Aug.
Urachal carcinomas is a rare and aggressive tumor, accounting for less than 1% of all bladder cancers. We report a case of a 32-year-old man, with no past medical history, complaining of a total hematuria. The abdominal computed tomography scan revealed an exophytic mass of 3 cm on the dome of the bladder, extending to the urachus. The computed tomography scan of chest, abdomen and pelvis did not show neither regional or distant metastasis. Partial Cystectomy with umbilectomy was performed. Histopathology was in favor of urachal adenocarcinoma, classed pT3a, based on Sheldon's staging system, pT2b based on Mayo system, and pT2 based on Ontario system.
脐尿管癌是一种罕见的侵袭性肿瘤，占所有膀胱癌的比例不到1%。我们报告一例32岁男性病例，该患者无既往病史，主诉全程血尿。腹部计算机断层扫描显示膀胱顶部有一个3厘米的外生性肿块，延伸至脐尿管。胸部、腹部和骨盆的计算机断层扫描未显示区域或远处转移。行膀胱部分切除术及脐切除术。组织病理学结果支持脐尿管腺癌，根据谢尔登分期系统分类为pT3a，根据梅奥系统分类为pT2b，根据安大略系统分类为pT2。
