Mucinous adenocarcinoma of the urachus

• Published in: Actas urologicas españolas Vol. 27; no. 2; pp. 142 - 146
• Main Authors: Ojea Calvo, A, Núñez López, A, Domínguez Freire, F, Alonso Rodrigo, A, Rodríguez Iglesias, B, Benavente Delgado, J, Barros Rodríguez, J M, González Piñeiro, A, Otero García, M, López Bellido, D
• Format: Journal Article
• Language: Spanish
• Published: Spain 01.02.2003
• Subjects: Adenocarcinoma, Mucinous - chemistry; Adenocarcinoma, Mucinous - pathology; Adenocarcinoma, Mucinous - therapy; Antineoplastic Combined Chemotherapy Protocols - therapeutic use; Biomarkers, Tumor - analysis; Carcinoembryonic Antigen - analysis; Chemotherapy, Adjuvant; Cisplatin - administration & dosage; Combined Modality Therapy; Cystectomy; Deoxycytidine - administration & dosage; Deoxycytidine - analogs & derivatives; Humans; Intermediate Filament Proteins - analysis; Keratin-20; Keratin-7; Keratins - analysis; Male; Middle Aged; Neoplasm Proteins - analysis; Radiotherapy, Adjuvant; Urachus - pathology; Urinary Bladder Neoplasms - chemistry; Urinary Bladder Neoplasms - pathology; Urinary Bladder Neoplasms - therapy
• ISSN: 0210-4806

The Adenocarcinoma of the Urachus is very rare tumor, with an incidence of 1/5,000,000 inhabitants, represents less than 0.001 of all types of bladder cancer. A 51 year old man with a chronic history of suprapubic pain and hematuria. Physical examination and excretory urography were normal. The cystoscopy demonstrated a oedematosa area in cupola of bladder wall. The transuretral biopsy was moderately differentiated adenocarcinoma, with positive antibody to CK7 and CK20, the carcinoembryonic antigen was 6.6 ng/ml. Extended partial cystectomy was done, followed for chemotherapy and radiotherapy. The treatment of adenocarcinoma of the urachus with a combination of extended partial cystectomy, chemotherapy and radiation, is a effective treatment.