Case Report: Bladder adenocarcinoma: primary or urachal?
J Eduardo Tejeda-Mariaca1,2,3, Marco Ordoñez-Alcantara1,3, Aldo Bello-Sedano1,4
1Urology Deparment, Hospital Nacional Alberto Sabogal Sologuren, Callao, 07001, Peru.
F1000Research
|August 25, 2020
Summary
This case report details a young woman diagnosed with bladder adenocarcinoma, initially presenting as a urachal tumor. Surgical management via partial cystectomy was successful, highlighting the need for specific treatment guidelines for this rare cancer.
Area of Science:
- Urology
- Oncology
- Pathology
Background:
- Bladder adenocarcinoma (AC) is a rare histological variant with limited management studies.
- No prior reports describe the management of a urachal tumor incidentally revealing bladder AC.
Observation:
- A young woman presented with symptoms mimicking recurrent urinary tract infections.
- Imaging revealed a urachal tumor, leading to partial cystectomy and extended lymphadenectomy.
Findings:
- Pathological examination confirmed primary bladder adenocarcinoma, not a urachal origin.
- The patient achieved complete recovery one year post-surgery.
Implications:
- Partial cystectomy can be an effective treatment for localized bladder AC.
- This case underscores the importance of thorough pathological evaluation for urachal-like bladder tumors.
- Further research is needed to establish specific management protocols for bladder adenocarcinoma.
