[Urachus' carcinoma: a case report]
Alfredo Guarnieri1, Andrea Tirone, Maria Teresa Del Vecchio
1Dipartimento di Chirurgia e Bioingegneria, Sezione di Chirurgia Università degli Studi di Siena, Siena. guarnieria@uni-si.it
Annali Italiani Di Chirurgia
|March 15, 2008
Summary
Urachus carcinoma is a rare cancer often diagnosed late due to its location. This case highlights delayed diagnosis and surgical management in an elderly patient.
Area of Science:
- Oncology
- Surgical Pathology
Background:
- Urachus carcinoma is a rare malignancy with a poor prognosis.
- Diagnosis is often delayed due to the urachus's anatomical location.
- Surgical options range from radical cystectomy to partial bladder resection with lymphadenectomy.
Observation:
- A case of urachus carcinoma in a 90-year-old female is presented.
- Diagnosis was established intraoperatively during laparotomy for a presumed lower abdominal mass.
- The patient underwent segmentary bladder resection.
Findings:
- Delayed diagnosis of urachus carcinoma is common.
- Surgical resection is a primary treatment modality.
- Segmentary resection can be performed even with delayed diagnosis.
Implications:
- This case underscores the importance of considering rare diagnoses in elderly patients.
- Early detection strategies for urachus carcinoma are needed.
- Surgical management can be adapted based on intraoperative findings.
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