Urachal Mucinous Cystadenocarcinoma.
Ryan PereiraStephen McGeorgeMarlon PereraIan VelaPublished in: BMJ case reports (2019)
A 57-year-old man presented with a 6-month history of pelvic fullness. He had no lower urinary tract symptoms or altered bowel habits. On examination, there was a non-tender pelvic mass which extended from the pubic symphysis to the level of the umbilicus. CT scan of the abdomen demonstrated a 22×11×11 cm cystic mass arising from the pelvis extending into the midline and superiorly to the umbilicus. Other than raised carcinoembryonic antigen of 7.6 ng/mL (<5.0), the remainder of his blood test were unremarkable. Flexible cystoscopy demonstrated a convex deformity of the bladder wall in keeping with the compression and displacement as seen on the CT. The patient underwent an open excision of the cystic structure (urachal remnant), partial cystectomy, partial excision of anterior abdominal wall and pelvic lymphadenectomy. A check cystogram performed 12 days following the initial operation was unremarkable.
Keyphrases
- lower urinary tract symptoms
- computed tomography
- rectal cancer
- dual energy
- benign prostatic hyperplasia
- image quality
- contrast enhanced
- robot assisted
- early stage
- lymph node
- positron emission tomography
- neoadjuvant chemotherapy
- low grade
- spinal cord injury
- case report
- magnetic resonance imaging
- sentinel lymph node
- radiation therapy
- pet ct
- high grade