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Actas Urológicas Españolas

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OJEA CALVO, A. et al. Mucinous adenocarcinoma of the urachus. Actas Urol Esp [online]. 2003, vol.27, n.2, pp.142-146. ISSN 0210-4806.

OBJETIVE: The Adenocarcinoma of the Urachus is very rare tumor, with an incidence of 1/5.000.000 inhabitants, represents less than 0.001 of all types of bladder cancer. CASE REPORT: A 51 year old man with a chronic history of suprapubic pain and hematuria. Physical examination and excretory urography were normal. The cistoscopy demostrated a oedematosa area in cupola of bladder wall. The transuretral biopsy was moderately differentiated adenocarcinoma, with positive antibody to CK7 and CK20. the carcinoembryonic antigen was 6.6 ng/ml. Extended partial cystectomy was done, followed for chemotherapy and radiotherapy. CONCLUSIONS: The treatment of adenocarcinoma of the urachus with a combination of extended partial cystectomy, chemotherapy and radiation, is a efective treatment.

Keywords : Urachus; Carcinoma; Bladder neoplasms.

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