Synchronous Urothelial Carcinoma of the Bladder and Urachal Adenoma with Subsequent Malignant Transformation
Pan David, Tay Yeng Kwang, Donnellan Scott,
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( Pan David )
Australia Southern Health Monash Medical Centre Department of Urology
( Tay Yeng Kwang )
Australia Southern Health Monash Medical Centre Department of Urology
( Donnellan Scott )
Australia Southern Health Monash Medical Centre Department of Urology
KMID : 0358320120530060438
Abstract
Malignant transformation of urachal adenoma is exceedingly rare, with intestinal metaplasia as the most common contributing mechanism. It is recommended that a urachal adenoma be regarded as a pre-malignant condition and be subject to endoscopic surveillance. A local en block excision of the tumor mass with urachalectomy and umbilectomy results in possible long-term survival. The median survival after platinum-based chemotherapy is limited for patients with extravesical disease. Here we report a case of synchronous urothelial carcinoma of the bladder and urachal adenoma that transformed into adenocarcinoma.
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Synchronous; Transformation; Urachal adenocarcinoma; Urachal adenoma; Urothelial carcinoma
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