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Case Reports
. 1998 Jun;51(6):483-4.
doi: 10.1136/jcp.51.6.483.

Stage 0 mucinous adenocarcinoma in situ of the urachus

A B Paul  1 , C R Hunt, J M Harney, J P Jenkins, R F McMahon
Affiliations
Case Reports

Stage 0 mucinous adenocarcinoma in situ of the urachus

A B Paul et al. J Clin Pathol. 1998 Jun.

Abstract

Adenocarcinomas of the urinary bladder are rare (1-5% of bladder tumours) and of notoriously poor prognosis. About one third of such tumours arise in urachal remnants related to the bladder. This is believed to be the first report of in situ change in the urachal remnant. The patient presented with mucusuria and computed tomography showed a typical urachal cyst. After excision the cyst was found to contain mucinous adenomatous epithelium but without invasion of the basal lamina. Pathological stage is the best prognostic indicator in urachal tumours. Prompt investigation and management of mucusuria may allow the diagnosis of urachal tumours in this preinvasive stage.

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