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Transcript of urachus
Generally benign. . .
Scheldon C., Clayman R., Gonzales R. Malignant urachal lesions, J Urology, 1984
Hatch, David, MD. "Normal Bladder Development" http://www.meddean.luc.edu/lumen/MedEd/urology/nlbladdv.htm
The Clinical Epidemiology of Urachal Carcinoma: Results of a Large, Population Based Study; Bruins HM, Visser O, Ploeg M, Hulsbergen-van de Kaa CA, Kiemeney LA, Witjes JA; Journal of Urology (Aug 2012)
Park JM. Normal development of the urogenital system. In Campbell- Walsh Urology. Wein, Kavossi, Novick, Partin, Peters eds. 2007. Elsevier, Philadelphia.
Ashey RA, Inman BA, Routh JC, et al. Urachal Anomalies: A longitudinal study of urachal remnants in children and adults. J Urol 2007; 178:1615-1618.
Don, 50yo M
6wk hx hematuria, pneumaturia
UA: 3+ blood, >5 epithelial RBCs/hpf
CEA, CA19-9 elevated
PE: Firm, mobile suprapubic mass
of all bladder cancers
Netherlands Cancer Registry + Nationwide Network and Registry of Histology and Cytopathology
Often discovered late in disease process
Journal of Urology 2012
Median umbilical fold
Go Irish, Beat Spartans
Sheldon Staging 1994
I. limited to urachal mucosa
II. Limited to urachus
IIIa. Local to bladder
IIIc. Local to peritoneum
IIId. Local to organs
IVa. Mets via Lypmh
IVb. Distant Mets
III = Local
IIIb. Local to abd wall
IV = Mets
IV = Mets