1/5. Primary actinomycosis mimicking urachal carcinoma.We report a case of urachal actinomycosis that presented with a progressively enlarging infraumbilical mass associated with umbilical discharge. Computed tomography revealed an extraperitoneal mass involving the dome of the bladder. The possible diagnosis included a malignant urachal neoplasm or chronic inflammatory mass. Partial cystectomy and excision of the mass was performed. The pathologic examination revealed actinomycosis. The patient was treated with a 6-month course of antibiotics. No recurrence was noted 1 year postoperatively.- - - - - - - - - - ranking = 1keywords = neoplasm (Clic here for more details about this article) |
2/5. Urachal inflammatory myofibroblastic tumor with ALK gene rearrangement: a study of urachal remnants.OBJECTIVES: Abnormalities of the urachus are rare among children and include a patent tract and cyst formation. These structures can also be affected by infection and abscess development. They are usually diagnosed during infancy and treated by surgical resection. Involvement of this remnant by either benign or malignant tumors is very infrequent. A few cases of mesenchymal tumors, such as desmoid tumor and leiomyoma, involving the urachus have been described in published reports. methods: We studied an inflammatory myofibroblastic tumor arising from the urachus in a 10-year-old boy. In addition, we reviewed 101 cases of urachal remnants retrieved from the surgical pathology and autopsy files in the Department of pathology at the Children's Hospital boston diagnosed in the past 82 years. RESULTS: The urachal inflammatory myofibroblastic tumor showed anaplastic lymphoma kinase (ALK) rearrangement by immunohistochemistry and fluorescence in situ hybridization techniques. No other neoplasms were diagnosed in the analyzed population. CONCLUSIONS: We describe an example of inflammatory myofibroblastic tumor involving the urachus. Involvement of the urachus by tumors is rare, but these should be considered in the differential diagnosis of urachal lesions.- - - - - - - - - - ranking = 1keywords = neoplasm (Clic here for more details about this article) |
3/5. Carcinoma of the urachus. Report of a case.The authors report a case of urachal carcinoma of a 60 year old woman of particular interest because of the clinical history, biological behavior and histotype. The tumor presented as an umbilical mass of 25 cm which had slowly increased during 20 years without evident clinical signs or infiltration of the peritoneum and abdominal organs. Histologic findings revealed an adenosquamous carcinoma, which represents less than 5% of urachal neoplasms. Surgical excision is the treatment. The prognosis is poor because of regional recurrence and metastases. The authors review the literature analyzing the criteria for differential diagnosis between adenocarcinoma of vesical and of urachal origin.- - - - - - - - - - ranking = 1keywords = neoplasm (Clic here for more details about this article) |
4/5. Urachal adenocarcinoma. A case report.A 21-year-old woman, previously operated for an acute abdomen from an infected urachal cyst, developed an urachal carcinoma. The importance of systematically and completely exciding urachal cysts is stressed by clinical considerations of the uncommon neoplasm that is associated with a poor prognosis.- - - - - - - - - - ranking = 1keywords = neoplasm (Clic here for more details about this article) |
5/5. Urachal carcinoma: a report of two cases.Urachal carcinoma is a rare neoplasm of the urinary bladder. We present two cases. Case 1, a male patient, noted urinary frequency and micturition pain for two months. The surgical specimen from a partial cystectomy represented a transitional cell carcinoma that developed from a urachal diverticulum. Case 2, a female patient, had a long history of infraumbilical mass without umbilical discharge or urinary symptom. Pathologically, the mass showed a papillary adenocarcinoma arising from a urachal cyst. Both patients received successive en bloc operation. Local recurrence and peritoneal carcinomatosis occurred. Both expired 19 and 13 months respectively, after initial diagnosis.- - - - - - - - - - ranking = 1keywords = neoplasm (Clic here for more details about this article) |