Uraco Carcinoma Unusual Pathology: A Case Report and Literature Review
DOI:
https://doi.org/10.54212/27068048.v9i1.19Keywords:
surgical treatment, uraco, radiotherapyAbstract
OBJECTIVE: To describe the characteristics, treatment and evolution of urachal adenocarcinoma. MATERIALS AND METHODS: 39-year-old patient who was referred from Hospital Regional de Occidente of the Quetzaltenango Health Area, due to intermittent hematuria with a diagnostic impression of high-grade urothelial carcinoma in a pathological study in a previous cystoscopy biopsy. Receiving chemotherapy treatment without response. CLINICAL CASE: 39-year-old male patient with a history of type II diabetes mellitus, diagnosed 2 years ago with metformin-based treatment; presenting dysuria and intermittent hematuria of 1 year of evolution; with 2 cystoscopies that reported invasive adenocarcinoma muscle detruser free to discard uraco carcinoma. On physical examination of the abdomen there were no masses or lymphadenopathy. Normal chest X-ray, abdomen CT: 8 x 5.5 cm bladder mass in the bladder dome, adhered to the abdominal wall. He was taken to the operating room where a wide urachal resection plus partial cystectomy with bilateral pelvic inguinal dissection was performed. The pathology confirms the diagnosis with free margins. He was sent to radiotherapy and received 50 Gys to the bed; at the time of the study there were no recurrences. RESULTS: It is a rare disease, so there is no consensus on adjuvant treatment. CONCLUSIONS: Surgery (partial cystectomy) plus adjuvant therapy with chemotherapy and / or radiotherapy are indicated in this type of pathology. A rigorous multidisciplinary control and follow-up is necessary along with a broad educational plan for the patient and their families.
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Busto Martín L, Valbuena L, Busto Castañón L. Adenocarcinoma de uraco, nuestra experiencia en 20 años. Arch Esp Urol [Internet]. 2015 [citado 17 de julio de 2020];68(2):178-82. Disponible en: https://medes.com/publication/96650
Caballero I, Matos E, González PP, Valdéz M, Fuentes LA, Chong E, et al. Adenocarcinoma del uraco. Acta Médica Cuba [Internet]. 2018 [citado 17 de julio de 2020];19(3). Disponible en: https://www.medigraphic.com/cgi-bin/new/resumen.cgi?IDARTICULO=84192
Moreno Bencardino C, Fernández Bonilla NJ, Peñaloza IF, Meek E, Torres Castellanos L, García Mayorga A. Gran adenocarcinoma de uraco. Reporte de un caso y revisión de la literatura. Urol Colomb [Internet]. 1 de septiembre de 2017 [citado 17 de julio de 2020];26(3):239-45. https://doi.org/10.1016/j.uroco.2017.03.001 DOI: https://doi.org/10.1016/j.uroco.2017.03.001
Martín MEGS, Guerra AG, Lite IS, Rodriguez JH. Carcinoma del uraco: una extraña entidad. Rev Urol Colomb Colomb Urol J [Internet]. marzo de 2019 [citado 18 de julio de 2020];28(1):39-42. Disponible en: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1648211
Cruz P, Ramírez M, Iborra I, Rubio J, Pinto F, Gómez-Ferrer A, et al. Adenocarcinoma de uraco: ¿qué tanto sabemos? Rev Mex Urol [Internet]. 1 de septiembre de 2014 [citado 17 de julio de 2020];74(5):301-7. https://doi.org/10.1016/j.uromx.2014.09.002
Iglesias EÁ, Calvo FF, Pascual VR. Patología Umbilical Frecuente. :7.
MANEJO DE LA PATOLOGIA SINTOMÁTICA DEL URACO. TRATAMIENTO LAPAROSCÓPICOY REVISIÓN DE LA LITERATURA [Internet]. HPC. 2013 [citado 18 de julio de 2020]. Disponible en: https://www.hpc.org.ar/investigacion/revistas/volumen-16/manejo-de-la-patologia-sintomatica-del-uraco-tratamiento-laparoscopicoy-revision-de-la-literatura/
Sandoval-Téllez JG, Ricardez-Espinosa AA, Suárez-Uriarte MJ. Carcinoma del uraco: reporte de un caso y revisión de la bibliografía. Rev Mex Urol. 2018;5. https://doi.org/10.48193/rmu.v78i3.81 DOI: https://doi.org/10.48193/rmu.v78i3.81
Cruz P, Ramírez M, Iborra I, Rubio J, Pinto F, Gómez-Ferrer A, et al. Adenocarcinoma de uraco: ¿qué tanto sabemos? Rev Mex Urol [Internet]. 1 de septiembre de 2014 [citado 11 de agosto de 2020];74(5):301-7. https://doi.org/10.1016/j.uromx.2014.09.002 DOI: https://doi.org/10.1016/j.uromx.2014.09.002
Ojea Calvo A, Núñez López A, Domínguez Freire F, Alonso Rodrigo A, Rodríguez Iglesias B, Benavente Delgado J, et al. Adenocarcinoma mucinoso de uraco. Actas Urol Esp [Internet]. febrero de 2003 [citado 18 de julio de 2020];27(2):142-6. https://doi.org/10.1016/S0210-4806(03)72892-7 DOI: https://doi.org/10.1016/S0210-4806(03)72892-7
Adenocarcinoma de uraco: [Internet]. [citado 18 de julio de 2020]. Disponible en: https://www.imbiomed.com/1/1/articulos.php?method=showDetail&id_articulo=104031&id_seccion=42&id_ejemplar=10105&id_revista=8
Jimenez A, Flores F, Olmos A. TRATAMIENTO MULTIMODAL DEL CARCINOMA DE URACO REPORTE DE CASO Y REVISIÓN DE LA LITERATURA. 2020;85. Disponible en: https://www.revistachilenadeurologia.cl/urolchi/wp-content/uploads/2020/08/TRATAMIENTO-MULTIMODAL-DEL-CARCINOMA-DE-URACO-REPORTE-DE-CASO-Y-REVISIO%CC%81N-DE-LA-LITERATURA.pdf
Salazar N, Pérez M, Acuña Hernandez M. Carcinoma de uraco, una neoplasia maligna poco frecuente CASO CLÍNICO. Rev Medica Urug. 1 de enero de 2018;34:52-5. https://doi.org/10.29193/RMU.34.1.6 DOI: https://doi.org/10.29193/RMU.34.1.6
Gomez J, Olmos L. Revista Chilena de Urología, Adenocarcinoma de uraco: presentación de dos casos. 2018 [citado 7 de diciembre de 2020];83. Disponible en: https://www.revistachilenadeurologia.cl/adenocarcinoma-de-uraco-presentacion-de-dos-casos/
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Copyright (c) 2021 María Augusta Velasco Basantes, Juan Bernardo Pazmiño Palacios, Antonio Miguel Rosales Torres & Karen Aileen Girón Orellana
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