Urachal Adenocarcinoma with Unusual Manifestation: A Case Report

尿囊道腺癌的非典型症狀：病例報告

Chien-Ming Lai(賴建名) ； Chiao-Zhu Li(李蕎竹) ； Chun-Feng Chang(張浚峰) ； Chiang-Ting Wang(王強庭) ； Chien-Tai Mei (梅健泰) ； Ying-Ray Ni(倪英睿) ； Chiao-Ching Li(李蕎青)

《南臺灣醫學雜誌》 20卷1期 (2024/06) Pp. 48-55

https://doi.org/10.6726/MJST.202406_20(1).0006

摘要

Urachal carcinoma is a rare cancer, accounting for only about 1% of bladder-related malignancies and 0.01% of all cancers in adults globally. Urachal adenocarcinoma is an aggressive cancer with poor prognosis. Treatment strategies are lacking due to the scarcity of cases and related studies. Differential diagnosis of urachal carcinoma can be difficult, and requires comprehensive imaging and pathological studies. Surgery is considered first-line treatment, while chemotherapy and/or radiation have limited impact on overall survival. The most common clinical symptoms are hematuria, mucinuria, and a palpable lower abdominal mass. To raise awareness of this rare cancer, we report urachal adenocarcinoma in a 49-year-old man who underwent imaging, pathological diagnosis, and surgical management.

關鍵字

urachal carcinoma ； mucinuria ； back pain ； lower extremity swelling

並列摘要

尿囊道腺癌是一種罕見的癌症，僅占與膀胱有關的惡性腫瘤的1%和成人所有癌症的0.01%。尿囊道腺癌是一種侵襲性腫瘤，預後不良。由於案例稀少和研究數量較少，治療策略缺乏。尿囊道腺癌的鑒別診斷可能很困難，需要全面的影像和病理學研究。手術是首選治療，而化療和或放療對總生存率的影響有限。臨床上，最常見的症狀是血尿，粘液尿和可觸及的下腹部腫塊。為了提高人們對這種罕見癌症的認識，本文報告了一例49歲男性患者尿囊道腺癌的影像學，病理診斷和手術治療。

並列關鍵字

尿囊道腺癌 ； 粘液尿 ； 背痛 ； 下肢腫脹