Aggressive Recurrent Urachal Adenocarcinoma : A Case Report And Review Of The Literature

Authors

  • Zainal Adwin Zainal Abidin Department on Surgery, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh, Selangor, Malaysia
  • Mohamed Arif Hameed Sultan Department of Surgery, Faculty of Health and Medical Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  • Firdaus Hayati Department of Surgery, Faculty of Health and Medical Sciences, Universiti Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia
  • Zulkifli Zainuddin Urology Unit, Department of Surgery, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Center, Cheras, Kuala Lumpur, Malaysia

DOI:

https://doi.org/10.3329/bjms.v20i4.54151

Keywords:

Urachal; adenocarcinoma; recurrent; partial cystectomy

Abstract

Recurrent urachal adenocarcinomas are rare. It is commonly associated with poor prognosis. A 51-year-old woman underwent a partial cystectomy for urachal cancer in 2014. She was well throughout follow-up with annual cystoscopies. She presented with a 1-month history of rapidly progressive suprapubic mass and hematuria. A contrasted computed tomography scan of the thorax, abdomen and pelvis showed a large mixed solid cystic tumour at the right lumbar region, suprapubic area and also at the pouch of Douglas. She refused surgical extirpation and now on chemotherapy. Urachal adenocarcinoma is rare, and resection is commonly advocated; usually, no standard adjuvant therapy is advocated. Recurrent cancers represent a management dilemma, and no standard follow-up protocols exist.

Bangladesh Journal of Medical Science Vol.20(4) 2021 p.911-913

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Published

2021-06-18

How to Cite

Abidin, Z. A. Z., Sultan, M. A. H., Hayati, F., & Zainuddin, Z. (2021). Aggressive Recurrent Urachal Adenocarcinoma : A Case Report And Review Of The Literature. Bangladesh Journal of Medical Science, 20(4), 911–913. https://doi.org/10.3329/bjms.v20i4.54151

Issue

Vol. 20 No. 4 (2021)

Section

Case Reports

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