An Unusual Long-Term Survey of a Patient with Widespread Malignant Urachal Tumor, Not Given Chemotherapy or Radiotherapy

The urachus establishes a connection between the dome of the bladder and the umbilicus throughout fetal life. If the urachus does not close completely, malignancy is a potential complication. The primary treatment for malignant urachal tumor is surgical excision. A 61-year-old male patient diagnosed...

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Main Authors: Tugrul Ormeci, Murat Can Kiremit, Bulent Erkurt, Aslı Örmeci
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Radiology
Online Access:http://dx.doi.org/10.1155/2015/183787
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author Tugrul Ormeci
Murat Can Kiremit
Bulent Erkurt
Aslı Örmeci
author_facet Tugrul Ormeci
Murat Can Kiremit
Bulent Erkurt
Aslı Örmeci
author_sort Tugrul Ormeci
collection DOAJ
description The urachus establishes a connection between the dome of the bladder and the umbilicus throughout fetal life. If the urachus does not close completely, malignancy is a potential complication. The primary treatment for malignant urachal tumor is surgical excision. A 61-year-old male patient diagnosed with urachal carcinoma had undergone partial cystectomy 25 years previously. Twenty years later, local recurrence was treated with another partial cystectomy without umbilical remnant excision. Recurrence at the umbilical site was excised 2 years later, but intraperitoneal invasion had occurred, and the patient underwent a total colectomy at that time. Local disease and disseminated metastases in the thorax and intra- and extraperitoneal areas were noted upon admission to our hospital. Urachal carcinomas are usually aggressive tumors, and surgical treatment should include partial or radical cystectomy and excision of the urachus and umbilicus, to prevent local recurrence and distant metastasis.
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institution Kabale University
issn 2090-6862
2090-6870
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Case Reports in Radiology
spelling doaj-art-d0a603ed9aa74e4994bcb0ea569a3c892025-02-03T06:08:03ZengWileyCase Reports in Radiology2090-68622090-68702015-01-01201510.1155/2015/183787183787An Unusual Long-Term Survey of a Patient with Widespread Malignant Urachal Tumor, Not Given Chemotherapy or RadiotherapyTugrul Ormeci0Murat Can Kiremit1Bulent Erkurt2Aslı Örmeci3Department of Radiology, Faculty of Medicine, Medipol University, Istanbul, TurkeyDepartment of Urology, Faculty of Medicine, Medipol University, Istanbul, TurkeyDepartment of Urology, Faculty of Medicine, Medipol University, Istanbul, TurkeyDepartment of Gastroenterology, Haseki Research and Educational Hospital, Istanbul, TurkeyThe urachus establishes a connection between the dome of the bladder and the umbilicus throughout fetal life. If the urachus does not close completely, malignancy is a potential complication. The primary treatment for malignant urachal tumor is surgical excision. A 61-year-old male patient diagnosed with urachal carcinoma had undergone partial cystectomy 25 years previously. Twenty years later, local recurrence was treated with another partial cystectomy without umbilical remnant excision. Recurrence at the umbilical site was excised 2 years later, but intraperitoneal invasion had occurred, and the patient underwent a total colectomy at that time. Local disease and disseminated metastases in the thorax and intra- and extraperitoneal areas were noted upon admission to our hospital. Urachal carcinomas are usually aggressive tumors, and surgical treatment should include partial or radical cystectomy and excision of the urachus and umbilicus, to prevent local recurrence and distant metastasis.http://dx.doi.org/10.1155/2015/183787
spellingShingle Tugrul Ormeci
Murat Can Kiremit
Bulent Erkurt
Aslı Örmeci
An Unusual Long-Term Survey of a Patient with Widespread Malignant Urachal Tumor, Not Given Chemotherapy or Radiotherapy
Case Reports in Radiology
title An Unusual Long-Term Survey of a Patient with Widespread Malignant Urachal Tumor, Not Given Chemotherapy or Radiotherapy
title_full An Unusual Long-Term Survey of a Patient with Widespread Malignant Urachal Tumor, Not Given Chemotherapy or Radiotherapy
title_fullStr An Unusual Long-Term Survey of a Patient with Widespread Malignant Urachal Tumor, Not Given Chemotherapy or Radiotherapy
title_full_unstemmed An Unusual Long-Term Survey of a Patient with Widespread Malignant Urachal Tumor, Not Given Chemotherapy or Radiotherapy
title_short An Unusual Long-Term Survey of a Patient with Widespread Malignant Urachal Tumor, Not Given Chemotherapy or Radiotherapy
title_sort unusual long term survey of a patient with widespread malignant urachal tumor not given chemotherapy or radiotherapy
url http://dx.doi.org/10.1155/2015/183787
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