Papillary adenocarcinoma of the urachus presenting as an umbilical mass.
A 53-year-old Caucasian female presented with an erythematous, tender, fluctuant mass in the periumbilical region. A computerized tomography scan of the abdomen and pelvis suggested a large tumor extending from the umbilicus to the dome of the bladder with elements of tissue within the bladder consistent with a malignancy of either bladder or urachal origin. The patient subsequently underwent a cystoscopic biopsy which was positive for papillary adenocarcinoma arising in a villous adenoma. Metastatic workup revealed multiple hepatic and bilateral pulmonarynodules. Palliative laparotomywithlysis of adhesions, smallbowel resection, partial cystectomy, omentectomy, abdominal wall and umbilical resection were performed.
Fancher
Tiffany T
TT
The Stanley J. Dudrick Department of Surgery, St. Mary's Hospital, Waterbury, USA. Tiffany.Fancher@stmh.org
Dudrick
Stanley J
SJ
Palesty
J Alexander
JA
D000231:Adenocarcinoma, Papillary / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary; D008875:Middle Aged; D010166:Palliative Care; D014497:Urachus / Q000473:pathology* / Q000601:surgery; D001749:Urinary Bladder Neoplasms / Q000556:secondary / Q000601:surgery