Unusual presentation of urachal adenocarcinoma with genitourinary cutaneous metastasis
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摘要:
Dear Editor,
The urachus,which is a vestigial structure between the dome of the bladder and umbilicus,usually,retracts from the bladder before birth.However,the urachal remnant was continuous with the bladder cavity even in adults in 32% of bladder in one autopsy study.1For this reason,tumors may develop from the remnants,most of which are well-differentiated mucinous adenocarcinomas,which is a rare form ofvesical malignancy,accounting for < 1% of all bladder cancers.Although local spread to the peritoneum is common at presentation,distant metastases without local recurrence are rarely detected following surgical excision of clinically localized disease.