KMID : 0358320120530060438
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Korean Journal of Urology 2012 Volume.53 No. 6 p.438 ~ p.440
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Synchronous Urothelial Carcinoma of the Bladder and Urachal Adenoma with Subsequent Malignant Transformation
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Pan David
Tay Yeng Kwang Donnellan Scott
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Abstract
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Malignant transformation of urachal adenoma is exceedingly rare, with intestinal metaplasia as the most common contributing mechanism. It is recommended that a urachal adenoma be regarded as a pre-malignant condition and be subject to endoscopic surveillance. A local en block excision of the tumor mass with urachalectomy and umbilectomy results in possible long-term survival. The median survival after platinum-based chemotherapy is limited for patients with extravesical disease. Here we report a case of synchronous urothelial carcinoma of the bladder and urachal adenoma that transformed into adenocarcinoma.
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KEYWORD
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Synchronous, Transformation, Urachal adenocarcinoma, Urachal adenoma, Urothelial carcinoma
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