Abstract
Introduction
We report the first case of cancer of the urachal remnant following repair of bladder exstrophy, in a renal transplant recipient.
Method
A retrospective review of this clinical case and the associated literature were performed.
Conclusion
This unusual case highlights two very rare entities. Bladder exstrophy has an incidence of 1 in 50,000 newborns, whereas urachal cancer accounts for less than 1% of all bladder tumours.
Similar content being viewed by others
References
Birkeland SA, Løkkegaard H, Storm HH (2000) Cancer risk in patients on dialysis and after renal transplantation. Lancet 355(9218):1886–1887. doi:10.1016/S0140-6736(00)02298-4
Nelson CP, Dunn RL, Wei JT (2005) Contemporary epidemiology of bladder exstrophy in the United States. J Urol 173(5):1728–1731. doi:10.1097/01.ju.0000154821.21521.9b
Gillenwater JY, Grayhack JT, Howards SS, Mitchell ME (2001) Adult and Pediatric urology, 4th edn. Lippincott Williams & Wilkins, Oxford, p 68
Cappele O, Sibert L, Descargues J, Delmas V, Grise P (2001) A study of the anatomic features of the duct of the urachus. Surg Radiol Anat 23(4):229–235. doi:10.1007/s00276-001-0229-1
Gearhart JP, Jeffs RD (2003) Exstrophy of the bladder, epispadias and other bladder anomalies. In: Walsh PC, Retik AB, Vaughan ED, Wein AJ (eds) Campbell’s urology. W.B. Saunders, Philadelphia, pp 1772–1812
Rieder JM, Parsons JK, Gearhart JP, Schoenberg M (2006) Primary squamous cell carcinoma in unreconstructed exstrophic bladder. Urology 67(1):199. doi:10.1016/j.urology.2005.07.008
Rodriguez HM Jr, Veillon DM, Carrico J, Elmajian DA, Cotelingam JD (2005) Pathology case of the month. A man with an abdominal wall lesion. Squamous cell carcinoma of the urinary bladder associated with exstrophy of the urinary bladder. J La State Med Soc 157(6):294–297
Molina QJ Jr, Furth AF, Richardson RL, Zincke H, Burch PA (2007) Predictors of survival from urachal cancer: a Mayo Clinic study of 49 cases. Cancer 110(11):2434–2440. doi:10.1002/cncr.23070
Dandekar NP, Dalal AV, Tongaonkar HB, Kamat MR (1997) Adenocarcinoma of bladder. Eur J Surg Oncol 23(2):157–160. doi:10.1016/S0748-7983(97)80012-1
Siefker-Radtke AO, Gee J, Shen Y, Wen S, Daliani D, Millikan RE, Pisters LL (2003) Multimodality management of urachal carcinoma: the M. D. Anderson Cancer Center experience. J Urol 169(4):1295–1298. doi: 10.1097/01.ju.0000054646.49381.01
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Fanning, D.M., Sabah, M., Conlon, P.J. et al. An unusual case of cancer of the urachal remnant following repair of bladder exstrophy. Ir J Med Sci 180, 913–915 (2011). https://doi.org/10.1007/s11845-009-0310-z
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11845-009-0310-z