Urachal Adenocarcinoma Following Kidney Transplantation: The First Case Report
Journal
Transplantation Proceedings
Journal Volume
41
Journal Issue
5
Pages
1939-1941
Date Issued
2009
Author(s)
Abstract
A 53-year-old man who underwent successful kidney transplantation for stage 5 chronic kidney disease presented to our clinic with intermittent painless gross hematuria. Urachal adenocarcinoma, stage III A by Sheldon system, was diagnosed after serial histopathologic and radiological studies. The patient was treated with extended partial cystectomy, en bloc resection of urachus and umbilicus, pelvic lymphadenectomy, and ileocystoplasty. There were no complications seen in this patient. Neither urachal adenocarcinoma recurrence, metastasis, nor de novo uroileal cancer developed during 48-month follow-up. His reconstructed bladder functioned efficiently, without compromising the transplanted kidney function. Our case demonstrated that conservative surgery and augmentation ileocystoplasty could be offered to kidney transplant recipients with localized urachal carcinoma. ? 2009.
SDGs
Other Subjects
mycophenolic acid 2 morpholinoethyl ester; prednisolone; tacrolimus; adult; article; bladder biopsy; bladder carcinoma; cancer surgery; case report; chronic kidney disease; clinical feature; cystectomy; differential diagnosis; follow up; graft rejection; hematuria; histopathology; human; immunosuppressive treatment; kidney transplantation; lymphadenectomy; male; nuclear magnetic resonance imaging; priority journal; tumor biopsy; tumor volume; urachal adenocarcinoma; Adenocarcinoma; Hematuria; Humans; Immunosuppressive Agents; Kidney Failure, Chronic; Kidney Neoplasms; Kidney Transplantation; Magnetic Resonance Imaging; Male; Middle Aged; Mycophenolic Acid; Neoplasm Staging; Prednisolone; Tacrolimus; Urachus
Type
journal article