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Sep 20, 2013Article Details
How to Cite
Nguku, S., Twahirwa, N., Mburugu, P., Rukaria, K., Etabale, J., Githae, F., & Tharao, M. (2013). Urachal Adenocarcinoma. Annals of African Surgery, 10(2). https://doi.org/10.4314/aas.v10i2.
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Main Article Content
Urachal Adenocarcinoma
Abstract
Urachal adenocarcinoma is a rare tumor and represents 0.17–0.34% of all bladder tumors. Most of the reported cases are in western literature and to the best of our knowledge this is the first case report of urachal adenocarcinoma in sub-Saharan Africa. It has an insidious course and variable clinical presentation. We present a case report of a 45 year old female with three month history of hematuria. Imaging showed a bladder dome mass. After cystoscopy and biopsy, urachal adenocarcinoma was diagnosed histologically. After a negative screen for distant metastasis based on CT chest and abdomen, the patient underwent anterior pelvic exenteration and ileal neo-bladder reconstruction. Six months later, the patient presented with chest metastases. Clinicians should have a high degree of suspicion for these rare tumors.
