Brain metastasis from urachal carcinoma

Area of Science:

• Oncology
• Neurosurgery
• Pathology

Background:

• Urachal carcinoma (UC) is an uncommon bladder cancer variant.
• Brain metastasis from UC is exceptionally rare, with limited documented cases.

Observation:

• A case of a 77-year-old female with urachal adenocarcinoma metastasis to the cerebellum is presented.
• The metastasis was surgically removed and pathologically confirmed.
• Recurrence was observed and treated with gamma knife radiotherapy.

Findings:

• Surgical resection of brain metastasis from urachal carcinoma is the primary treatment of choice.
• Local radiotherapy, including gamma knife, is a suitable alternative to routine whole brain radiotherapy for recurrences.

Implications:

• This case contributes to the limited literature on urachal carcinoma brain metastasis.
• Highlights the efficacy of surgical management and targeted radiotherapy for this rare condition.