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PMID- 28858081
DA  - 20170831
DCOM- 20170911
LR  - 20170912
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 96
IP  - 35
DP  - 2017 Sep
TI  - Urachal mucinous adenocarcinoma with pseudomyxoma peritonei: A case report.
PG  - e7548
LID - 10.1097/MD.0000000000007548 [doi]
AB  - RATIONALE: Pseudomyxoma peritonei is an unusual clinical condition, and the
      appendix and ovaries are reported as the primary sites. PATIENT CONCERNS: A
      44-year-old man who was reported a 3-month history of lower abdominal pain and
      distention, along with increased abdominal girth, was admitted with a palpable
      tender mass in the central lower abdomen. DIAGNOSIS: Ultrasonography showed a
      large well-circumscribed cystic-solid mass with lobulated margin, extending from 
      the anterosuperior dome of the urinary bladder to the anterior abdominal wall. A 
      computed tomography (CT) scan revealed a midline heterogeneous, hypodense,
      irregular polycystic-solid mass adjacent to the anterior wall of the abdomen and 
      anterior to the dome of the urinary bladder. fluorodeoxyglucose positron-emission
      tomography/CT showed intense fluorodeoxyglucose uptake in the thickened wall of
      the mass. Intraperitoneal laparoscopic exploration also revealed a midline
      abdominal mass adjacent to the dome of the urinary bladder. Laparotomy showed
      that the mass originated from the dome of the urinary bladder and was
      disconnected with the urinary bladder lumen. The final histopathological
      diagnosis was urachal mucinous adenocarcinoma associated with high-grade
      pseudomyxoma peritonei. INTERVENTIONS: The patient underwent surgical
      cytoreductive procedure and the perioperative intraperitoneal chemotherapy.
      OUTCOMES: The patient made an uneventful recovery, and 7 months later had no
      recurrence. LESSONS: The urachus is a tubular structure, which extends medially
      from the apex of the bladder to the allantoid during fetal development, and it
      usually obliterates after birth. Urachal remnants can cause urachal carcinoma or 
      bladder cancers. Pseudomyxoma peritonei originating from mucinous neoplasm of the
      urachus is extremely rare.
FAU - Liang, Lei
AU  - Liang L
AD  - aDepartment of Ultrasound, Aero Space Central Hospital, Beijing, China
      bDepartment of Surgery, Aero Space Central Hospital, Beijing, China cDepartment
      of Pathology, Aero Space Central Hospital, Beijing, China.
FAU - Zhou, Nan
AU  - Zhou N
FAU - Xu, Hongbin
AU  - Xu H
FAU - Liu, Damiao
AU  - Liu D
FAU - Lu, Yiyan
AU  - Lu Y
FAU - Li, Fang
AU  - Li F
FAU - Guo, Jun
AU  - Guo J
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - IM
MH  - Abdominal Pain/etiology
MH  - Adult
MH  - Cystadenocarcinoma, Mucinous/*diagnosis/diagnostic imaging/pathology/surgery
MH  - Diagnosis, Differential
MH  - Humans
MH  - Laparoscopy
MH  - Male
MH  - Peritoneal Neoplasms/*diagnosis/diagnostic imaging/secondary/surgery
MH  - Pseudomyxoma Peritonei/*diagnosis/diagnostic imaging/surgery
MH  - Tomography, X-Ray Computed
MH  - Ultrasonography
MH  - Urachus/*pathology
MH  - Urinary Bladder Neoplasms/*diagnosis/diagnostic imaging/pathology/surgery
PMC - PMC5585475
EDAT- 2017/09/01 06:00
MHDA- 2017/09/12 06:00
CRDT- 2017/09/01 06:00
AID - 10.1097/MD.0000000000007548 [doi]
AID - 00005792-201709010-00005 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2017 Sep;96(35):e7548. doi: 10.1097/MD.0000000000007548.