Urachal adenocarcinoma surgical management – emphasis on enbloc umbilectomy and urachal remnant excision with negative margins

We present a 35-year-old female with urachal adenocarcinoma presented with an anterior abdominal wall swelling and ulcer managed surgically with wide excision of anterior abdominal wall along with intra-abdominal tumour mass with umbilectomy and contiguous urachal remnant excision with abdominal wall reconstruction with mesh repair who was doing well at one year follow up. We also present a brief review regarding pathologic criteria, evolution of various staging systems and surgical aspects of urachal adenocarcinoma.
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research