Endoscopic Management of Urachal Mucinous Cystic Tumor of Low Malignant Potential (MCT-LMP)

Fabien S, Cédric R, Carole C, Jean-René T, Armin P and Carole A

Department of Urology-Transplantation, CHU Amiens-Picardie, France Laboratoire EPROAD EA 4669, Université Picardie Jules Verne, France Department of Radiology, CHU Amiens-Picardie, France Department of Pathological Anatomy, CHU Amiens-Picardie, France

^*Correspondance to: Fabien Saint 

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Abstract:

Urachal mucinous tumors are rare neoplasms with behavior that can range from relatively benign to malignancy that can spread distantly or throughout the peritoneum (pseudomyxoma peritonei or peritoneal carcinomatosis). Here we describe a case of a small (2 cm) urachal Mucinous Cystic Tumor of Low Malignant Potential (MCT-LMP), confined to an intact cyst at the dome of the urinary bladder, without rupture or peritoneal spread. The urachal mucinous tumor was an incidental finding on a staging CT-scan performed for nonspecific gastrointestinal disorder. The cystic lesion at the dome of the bladder was totally resected by Transurethral Resection of the Bladder (TURB). No additional surgery, systemic chemotherapy or radiation therapy following TURB was done. Thirty months after surgery, the patient had no evidence of metastasis or local recurrence. This case raises the interesting possibility of endourology conservative management for small urachal MCTLMP, with no recurrence and metastases after intermediate-range follow-up.

Keywords:

Urachus; Urachal adenocarcinoma; Mucinous cystic neoplasm

Cite the Article:

Fabien S, Cédric R, Carole C, Jean- René T, Armin P, Carole A. Endoscopic Management of Urachal Mucinous Cystic Tumor of Low Malignant Potential (MCT-LMP). World J Surg Surgical Res. 2024; 7: 1545..