title: Urachal carcinoma presenting with chronic mucusuria: a case report.
abstract: Urachal adenocarcinoma is a rare tumor and represents 0.17-0.34% of all bladder tumors. It has an insidious course and variable clinical presentation. We present a case report of a 58 year old white male with an urachal cyst who suffered irritative voiding symptoms and long term mucusuria, since childhood. After surgical removal of the cyst with a partial cystectomy a mucus adenocarcinoma was diagnosed histologically.The patient after a negative for metastatic disease screen underwent a completion radical cystectomy with pelvic lymph node clearance. Clinicians should have a high degree of suspicion for these rare tumors.
authors.affiliation: General Hospital of Chania "Agios Georgios" Chania, Crete, TK 73100, Greece . efthimiou_ioannis@hotmail.com.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Efthimiou
authors.forename: Charalampos
authors.initials: C
authors.lastname: Mamoulakis
authors.forename: Savas
authors.initials: S
authors.lastname: Kazoulis
authors.forename: Sarantos
authors.initials: S
authors.lastname: Xirakis
authors.forename: Vernadakis
authors.initials: V
authors.lastname: Spiros
authors.forename: Ioannis
authors.initials: I
authors.lastname: Christoulakis