Urologie médicale et chirurgicale
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Abstrait

A Case of Urachal Carcinoma

Ryan Griffin, Laura Alder, Brian Baksa, Brendon Keith, Do Young Kim and Marc R. Matrana.

Urachal carcinoma is a rare, non-urothelial carcinoma that represents less than one percent of all bladder cancers. We present the case of a 58-year-old man who presented with the acute onset of painless hematuria. Cystoscopy revealed a bladder mass, and subsequent biopsy of a liver mass confirmed the diagnosis of metastatic urachal adenocarcinoma. The patient initially underwent a chemotherapeutic regimen of 5-fluorouracil, leucovorin, gemcitabine, and cisplatin (GEM-FLP) given every four weeks. Our case illustrates the importance of recognizing and diagnosing urachal carcinoma correctly since the therapeutic options differ compared to traditional urothelial cancers.