Urachal carcinoma:clinicopathologic features and surgical outcomes
10.3760/cma.j.issn.1000-6702.2009.10.008
- VernacularTitle:脐尿管癌的临床病理学特点及手术疗效观察
- Author:
Chenguang LI
;
Guang SUN
;
Xiaoqiang LIU
;
Yi WANG
;
Zhanjun GUO
;
Yuming YANG
;
Xiaodong LI
;
Aixiang WANG
- Publication Type:Journal Article
- Keywords:
Bladder neoplasms;
Urachus;
Carcinoma
- From:
Chinese Journal of Urology
2009;30(10):669-672
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical and pathological features of urachal carcinoma.Methods The clinical and pathological data of 7 patients diagnosed as urachal carcinoma were retrospectively analyzed,and the cIinicopathologic features,diagnosis and treatment,surgical characteristics and surgical outcomes were reviewed.There were 6 males and 1 female.Patient's age ranged from 26-75 years,with average of 52 years.Examinations before surgery included ultrasound,cystoscopy,urine cytology,CT and IVU.Six patients underwent extensive partial cystectomy and 1 patient underwent conventional partial cystectomy. Results Pathological diagnosis were 5 cases of mucinous adenocarcinoma,1 case of not classified adenocarcinoma,1 case of small cell neuroendocrine carcinoma.Clinical stages according to Sheldon staging system were 6 cases of stage ⅢA and 1 case of ⅢC.One patient died of bone metastasis 3 months after operation,1 patient experienced recurrence in bladder neck and urethra in 15 months and 24 months after operation and received TUR-Bt,the other 5 patients were alive without recurrence and metastasis with follow-up of 2-30 months. Conclusion Urachal carcinoma is a rare malignancy,and patients with this disease haye a poor prognosis.
