Abstract Urachal adenocarcinoma represents the third most common histological type of non-urotelial bladder cancer.
A very low incidence of this disease and the lack of prospective studies have led to a rich and heterogeneous treatment history. Currently, the standard of care for these patients is represented by partial cystectomy en bloc with resection of the urachal ligament and total omphalectomy.
Radical Prostatectomy (Prostate Cancer Surgery)
The aim of this article is to present our experience and results in the management of patients with urachal adenocarcinoma. The Sheldon classification was used, as it provides appropriate disease staging and is the most commonly utilized.
UROLOGY - Springer Verlag
Postoperative pathological results showed that 7 Lymph node involvement was present in 3 patients Mean follow-up time was 2. Three patients In cases with lymph node involvement, local recurrence or distant metastasis, patients underwent cisplatin- or 5-fluorouracil-based salvage chemotherapy.
Surgical treatment represents the gold standard, while adjuvant chemotherapy has a limited impact on overall survival. The utility of navel resection is questionable due to the rarity of direct invasion or local recurrence.