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Nat Clin Pract Oncol. 2008 Jan;5(1):55-8.

Treatment of metastatic urachal carcinoma in an elderly woman.

Author information

1
James P Wilmot Cancer Center, 601 Elmwood Avenue, Box 704, Rochester, NY 14642, USA. supriya_mohile@urmc.rochester.edu

Abstract

BACKGROUND:

A 67-year-old woman with a history of smoking presented with abdominal pain and hematuria. On physical examination, she had a palpable pelvic mass. Imaging revealed a large pelvic mass situated on the dome of the bladder, extending from the urachus, without evidence of other sites of metastases. After resection, urachal adenocarcinoma was histologically confirmed. No adjuvant therapy was administered. Repeat imaging obtained 3 months after resection revealed a large left pelvic mass consistent with recurrence.

INVESTIGATIONS:

Physical examination, pelvic and complete lymph-node examination, laboratory tests, urine analysis, CT scan of the abdomen and pelvis, chest X-ray, bone scan, cystoscopy, histologic examination of tumor morphology, and MRI of the abdomen and pelvis.

DIAGNOSIS:

Metastatic urachal adenocarcinoma.

MANAGEMENT:

Surgical excision combined with cystectomy and pelvic lympadenectomy, chemotherapy with 5-fluorouracil, leucovorin, and irinotecan.

PMID:
18097457
DOI:
10.1038/ncponc1009
[Indexed for MEDLINE]

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