TY - JOUR
T1 - Urachal Adenocarcinoma Following Kidney Transplantation
T2 - The First Case Report
AU - Tai, H. C.
AU - Chen, Y. S.
AU - Wang, S. M.
AU - Chueh, S. C.
AU - Lai, M. K.
AU - Yu, H. J.
PY - 2009/6
Y1 - 2009/6
N2 - 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.
AB - 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.
UR - https://www.scopus.com/pages/publications/67249152709
U2 - 10.1016/j.transproceed.2009.03.072
DO - 10.1016/j.transproceed.2009.03.072
M3 - 文章
C2 - 19545760
AN - SCOPUS:67249152709
SN - 0041-1345
VL - 41
SP - 1939
EP - 1941
JO - Transplantation Proceedings
JF - Transplantation Proceedings
IS - 5
ER -