Case Report: Bladder adenocarcinoma: Primary or urachal?

• Autores: Tejeda-Mariaca, J. Eduardo, Ordoñez-Alcantara, Marco, Bello-Sedano, Aldo, Perez-Cornejo, Victor, Grandez-Urbina, J. Antonio
• Formato: artículo
• Fecha de Publicación: 2021
• Institución: Universidad Continental
• Repositorio: CONTINENTAL-Institucional
• Lenguaje: inglés
• OAI Identifier: oai:repositorio.continental.edu.pe:20.500.12394/10133
• Enlace del recurso: https://hdl.handle.net/20.500.12394/10133; http://dx.doi.org/10.12688/f1000research.20106.1
• Nivel de acceso: acceso abierto
• Materia: Neoplasias de vejiga urinaria; Adenocarcinoma; Patología quirúrgica; http://purl.org/pe-repo/ocde/ford#1.02.02

Background: Bladder adenocarcinoma (AC) is a scarce histological variant and there are few studies on its proper management. No previous case reports present the management of a urachal tumor and the incidental finding of bladder adenocarcinoma. Clinical case: We present the case of a young woman with nonspecific symptoms, who presented with a prior history of dysuria, bladder tenesmus, suprapubic pain and urinary urgency for one year, which had been treated as recurrent urinary tract infection. A partial cystectomy plus extended lymphadenectomy was scheduled. We found a bladder tumor with characteristics of a urachal tumor and the pathological report indicated a primary bladder AC. The patient had a complete recovery at one year of follow-up. Conclusions: A patient can present with a tumor with urachal characteristics; however, the pathology report can show primary AC. The decision to perform partial cystectomy was an appropriate option for the location of this tumor, with optimal surgical results. Still, a long-term follow-up is necessary. More specific management guidelines are required for the treatment of AC.