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CARCINOMA OF THE URACHUS
Author(s) -
Beck A. D.,
Gaudin H. J.,
Bonham D. G.
Publication year - 1970
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1970.tb04503.x
Subject(s) - urachus , medicine , cystectomy , radiation therapy , adenocarcinoma , carcinoma , fascia , surgery , biopsy , radiology , cancer , pathology , bladder cancer
SUMMARY Two further cases of urachal carcinoma are added to the 76 already reported in the English literature. An important factor contributing to the poor prognosis appears to be inadequate excision of the tumour at the time of partial cystectomy. No tumour at the apex of the bladder should be treated endoscopically without a tissue diagnosis; if biopsy reveals adenocarcinoma the urachus is the most likely site of origin. Treatment entails en bloc excision of the transversalis fascia, the fatty tissue in the cave of Retzius and an adequate margin of bladder wall together with the overlying peritoneum. Radiotherapy has little to offer for the early case but may be a useful adjunct to surgery in the presence of advanced disease.