Carcinoma of the urachus and the role of PET-CT in disease recurrence – case report

Marta Biedka; Ewa Ziółkowska; Bogdan Małkowski; Roman Makarewicz

doi:10.5114/wo.2011.21816

eISSN: 1897-4309
ISSN: 1428-2526

Contemporary Oncology/Współczesna Onkologia

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abstract:

Case report

Carcinoma of the urachus and the role of PET-CT in disease recurrence – case report

Marta Biedka

,

Ewa Ziółkowska

,

Bogdan Małkowski

,

Roman Makarewicz

Contemporary Oncology (2011) vol. 15; 2 (111–114)

DOI: https://doi.org/10.5114/wo.2011.21816

Online publish date: 2011/04/29

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Urachal carcinoma is a rare cancer that accounts for 0.5%-2% of all bladder cancers. These tumours are commonly seen in patients 40-70 years of age, two-thirds of whom are men. Most urachal cancers are adenocarcinomas but other histological subtypes are described. Patients with urachal cancer may have no symptoms until the late stage. The most common clinical signs are suprapubic mass, haematuria and dysuria. The recommended treatment is primarily surgical, with extended partial cystectomy, en bloc excision of the urachal mass, urachal tract and umbilicus, and pelvic lymph node dissection. While some have advocated radical cystectomy as definitive therapy, this procedure can usually be reserved for larger tumours. Radiation and chemotherapy are ineffective against urachal carcinoma. The aim of this article is to present a patient with urachal carcinoma and describe the treatment, including the special role of PET-CT.

keywords:

Carcinoma of the urachus and the role of PET-CT in disease recurrence – case report

Marta Biedka , Ewa Ziółkowska , Bogdan Małkowski , Roman Makarewicz

carcinoma, urachus, PET-CT

Marta Biedka

,

Ewa Ziółkowska

,

Bogdan Małkowski

,

Roman Makarewicz