Cases Journal


Open Access Case Report

Treatment of metastatic urachal adenocarcinoma in a young woman: a case report

Elmehdi Tazi1*, Issam Lalya1, Mohammed F Tazi2, Youness Ahallal1, Hind M'Rabti1 and Hassan Errihani1

Author Affiliations

1 Department of Medical Oncology, National Institute of Oncology, Rabat, 47000, Morocco

2 Departement of Urology, Teaching Hospital Hassan Ii, Fez, Morocco

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Cases Journal 2009, 2:9145 doi:10.1186/1757-1626-2-9145

Published: 4 December 2009

Abstract

A 30-year-old woman with a history of smoking presented with abdominal pain and haematuria. On physical examination, she had a palpable pelvic mass. Imaging revealed a large pelvic mass located on the dome of the bladder, extending from the urachus, with pulmonary metastases. After open biopsy, urachal adenocarcinoma was histologically confirmed. The patient received six cycles of palliative chemotherapy combination 5 fluorouracil and irinotecan with complete response on the pelvic mass and partial response estimated to more than 80% on pulmonary metastasis.