脐尿管癌1例
A Case of Urachal Carcinoma
DOI: 10.12677/ACM.2023.13112393, PDF,   
作者: 孟娟娟*, 魏 媛, 古丽孜拉·拜山:新疆医科大学第一附属医院昌吉分院肿瘤科,新疆 昌吉;张恩环#:福建省泉州市安溪县医院肿瘤放疗科,福建 泉州
关键词: 脐尿管癌病理学诊断影像学表现Urachal Carcinoma Pathologic Diagnosis Image Findings
摘要: 目的:提高对脐尿管癌(UrC)的认识。方法:回顾性分析2023年4月新疆医科大学第一附属医院昌吉分院收住的1例UrC患者的临床资料,并进行文献复习。结果:该患者以下腹部疼痛就诊,完善膀胱镜及腹壁肿物切除病检,同时完善胸腹盆平扫增强CT后,MDT讨论后诊断为脐尿管癌。术后辅助化疗1周期后,初步判断病情进展。结论:病理学检查及肿瘤多学科(MDT)分析能提高该疾病认知。早发现、早治疗能提高患者生存率。
Abstract: Objective: To improve understanding of urachal carcinoma (UrC). Method: A retrospective analysis was conducted on the clinical data of one UrC patient admitted to Changji Branch of the First Affili-ated Hospital of Xinjiang Medical University in April 2023, and literature review was conducted. Result: The patient sought medical attention for lower abdominal pain, and underwent complete cystoscopy and abdominal wall mass removal examination. At the same time, after improving chest, abdominal, and pelvic plain scan enhanced CT, MDT was discussed and diagnosed as urachal carci-noma. After one cycle of postoperative adjuvant chemotherapy, the progression of the condition was preliminarily determined. Conclusion: Pathological examination and multidisciplinary tumor anal-ysis (MDT) can improve the understanding of this disease. Early detection and treatment can im-prove patient survival rate.
文章引用:孟娟娟, 张恩环, 魏媛, 古丽孜拉·拜山. 脐尿管癌1例[J]. 临床医学进展, 2023, 13(11): 17079-17083. https://doi.org/10.12677/ACM.2023.13112393

参考文献

[1] Elser, C., Sweet, J., Cheran, S.K., et al. (2012) A Case of Metastatic Urachal Adenocarcinoma Treated with Several Dif-ferent Chemotherapeutic Regimens. Canadian Urological Association Journal, 6, E27-E31. [Google Scholar] [CrossRef
[2] Willian, S., Marta, B., Marco, F., et al. (2018) Urachal Adenocarcinoma: A Case Report with Key Imaging Findings and Radiologic-Pathologic Correlation. Case Reports in Radiology, 2018, Arti-cle ID: 4935261.
[3] Scabini, S., Rimini, E., Romairone, E., et al. (2009) Urachal Tumour: Case Report of a Poorly Understood Carcinoma. World Journal of Surgical Oncology, 7, 82-82. [Google Scholar] [CrossRef] [PubMed]
[4] Gopalan, A. (2009) Urachal Carcinoma: A Clinicopathologic Analy-sis of 24 Cases with Outcome Correlation. American Journal of Surgical Pathology, 33, 659-668. [Google Scholar] [CrossRef
[5] Johnson, D.E., Hodge, G.B., Abdul-Karim, F.W., et al. (1985) Urachal Carcinoma. Urology, 26, 218-221. [Google Scholar] [CrossRef] [PubMed]
[6] Siefker-Radtke, A. (2012) Urachal Adenocarcinoma: A Clini-cian’s Guide for Treatment. Seminars in Oncology, 39, 619-624. [Google Scholar] [CrossRef] [PubMed]
[7] Cho, S.Y., Moon, K.C., Park, J.H., et al. (2013) Outcomes of Korean Patients with Clinically Localized Urachal or Non-Urachal Adenocarcinoma of the Bladder. Urologic Oncolo-gy Seminars & Original Investigations, 31, 24-31. [Google Scholar] [CrossRef] [PubMed]
[8] Mardi, K. and Gupta, N. (2011) Urachal Papillary Cystadeno-carcinoma: A Rare Case Report. Journal of Cancer Research and Therapeutics, 7, 223-225. [Google Scholar] [CrossRef] [PubMed]
[9] Besarani, D. (2003) Recurrent Urachal Adenocarcinoma. Journal of Clinical Pathology, 56, Article 882. [Google Scholar] [CrossRef] [PubMed]
[10] Wei, Z., Zhang, Z., Ge, J., et al. (2012) Renal Mucinous Tubular and Spindle Cell Carcinoma: Two Cases Report and Review of the Literature. The Chinese-German Journal of Clinical On-cology, 11, 672-675. [Google Scholar] [CrossRef
[11] 王祖恒, 刘喆, 程文. 脐尿管癌的诊疗研究进展[J]. 现代泌尿生殖肿瘤杂志, 2023, 15(2): 65-68.
[12] Beati, F., Conforti, A., Caforio, L., et al. (2023) A Rare Case of Patent Ura-chus in Association with a Giant Cystic of the Umbilical Cord. Italian Journal of Gynaecology and Obstetrics, 35, 138. [Google Scholar] [CrossRef
[13] 陈利刚, 王国强, 张朋来, 等. 脐尿管癌诊治进展[J]. 内蒙古医科大学学报, 2023, 45(2): 209-212.
[14] Bruins, H.M., Visser, O., Ploeg, M., et al. (2012) The Clinical Epidemi-ology of Urachal Carcinoma: Results of a Large, Population Based Study. The Journal of Urology, 188, 1102-1107. [Google Scholar] [CrossRef] [PubMed]
[15] Kouhen, F., et al. (2021) Primary Urachal Adenocarcinoma Treated Effectively with Surgery and Post Operative Chemoradiation Therapy: Case Report with Review of the Literature. Radiology Case Reports, 16, 2252-2255. [Google Scholar] [CrossRef] [PubMed]
[16] Suzuki, K., Kai, Y., Matsuda, M., et al. (2022) A Rare Case of Urachal Carcinoma with Multiple Lung Metastasis That Required Differentiation from Primary Lung Carcinoma. Respi-rology Case Reports, 10, e0890. [Google Scholar] [CrossRef] [PubMed]
[17] Findakly, D. and Wang, J. (2021) Primary Urachal Carcinoma: A Sys-tematic Review. Journal of Clinical Oncology, 39, e16502. [Google Scholar] [CrossRef
[18] Siefker-Radtke, A.O., Gee, J., Shen, Y.U., et al. (2003) Multimodality Management of Urachal Carcinoma: The M. D. Anderson Cancer Center Experience. The Journal of Urology, 169, 1295-1298. [Google Scholar] [CrossRef] [PubMed]
[19] Kume, H., Tomita, K., Takahashi, S., et al. (2006) Iri-notecan as a New Agent for Urachal Cancer. Urologia Internationalis, 76, 281-282. [Google Scholar] [CrossRef] [PubMed]
[20] Riva, G., Mian, C., Luchini, C., et al. (2018) Urachal Carcinoma: From Gross Specimen to Morphologic, Immunohistochemical, and Molecular Analysis. Virchows Archiv, 474, 13-20. [Google Scholar] [CrossRef] [PubMed]
[21] 罗贞波, 蔡涛浓, 梁海滔, 等. 单中心初发脐尿管癌55例诊治分析[J]. 临床泌尿外科杂志, 2022, 37(11): 857-860.