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摘要


臍尿管腺瘤為人類胚胎發育期間所殘存臍尿管處,是一種非常罕見的惡性腫瘤,只占所有惡性腫瘤的0.01%,即使對於膀胱癌也僅僅只佔有0.7%。同時因為往往不易診斷及高惡性度,所以即使發現後,它的預後也相當不好。這裡,我們報告一位臍尿管腺瘤的案例。44歲的女性,起初只是血尿症狀,後來在2008年6月於本院經影像與細胞病理切片,診斷為臍尿管腺瘤,之後安排手術切除治療。並安排在手術一個月後,開始接受術後放射線治療,到2009年7月的最後一次門診追蹤期間,都沒有腫瘤局部復發與遠處轉移的情況發生,在此也提供一些臨床上的經驗與治療參考。

並列摘要


Urachal adenocarcinoma is an extremely rare neoplasm and usually associated with poor prognosis. We report a case of urachal adenocarcinoma in one 44-year-old woman. She presented painless hematuria. Cystoscopic examination and transurethral biopsy showed an urachal tumor. After undergoing laparoscopic partial cystectomy with lymph nodes dissection, the patient received postoperative radiation therapy. The clinical presentation, radiological, histopathological findings, treatment methods and correlated literature are discussed and reviewed here.

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