International Journal of Hematology and Oncology 2020, Vol 30, Num 2 Page(s): 205-210

Yüksel KÜÇÜKZEYBEK1, Ercüment CENGİZ1, Bülent KARABULUT1, Murat SEZAK2, Çağ ÇAL3, Rüçhan USLU1

1Ege Üniversitesi Tıp Fakültesi Medikal Onkoloji Bilim Dalı, Bornova İZMİR
2Ege Üniversitesi Tıp Fakültesi Patoloji Ana Bilim Dalı, Bornova İZMİR
3Ege Üniversitesi Tıp Fakültesi Üroloji Ana Bilim Dalı, Bornova İZMİR

Keywords: Urachus adenocarcinoma
Urachal carcinoma is an extremely rare tumor, comprising 0.17-0.34% of all bladder tumors. Most of the histhopathological diagnosis is adeno carcinoma in this group of tumour. A 28-year-old woman patient complaining of macrohematuria was admitted to our institute. She has a history of left nephrectomy because of vesicourethral reflux and nonfunctional kidney. Ultrasonography, computed tomography and cystoscopy demonstrated a tumor at the bladder dome. Transurethral resection was performed. Adenocarcinoma was determined at the hystopathologic examination of the specimen. After distant metastases scanning, radical systectomy and urinary diversion operation was performed. Uracil-tegafur and carboplatin combination regimen was administered as an adjuvan treatment. Patient is alive and disease free for 9 months when this case was reported. This case, because of younger age and lack of distant metastases at the time of the diagnosis, is being reported.