CAJ | 학술논문

目的：探讨脐尿管癌的诊断和治疗方法。方法：报道1例膀胱脐尿管癌合并膀胱尿路上皮癌，探讨脐尿管癌的诊治。结果：患者为72岁老年男性，2004年手术确诊为膀胱尿路上皮癌。2013年6月因右下腹肿块手术，术后病理提示肿块为膀胱脐尿管腺癌。故患者诊断为膀胱癌及膀胱脐尿管双原发癌。结论：脐尿管癌是来源于脐尿管残存组织的少见恶性上皮肿瘤，由于发生部位特殊，早期诊断困难。膀胱部分切除术是主要的治疗方法，病理分期是主要的预后因素。目前仍没有公认的化疗方法，预后较差。
목적：탐토제뇨관암적진단화치료방법。방법：보도1례방광제뇨관암합병방광뇨로상피암，탐토제뇨관암적진치。결과：환자위72세노년남성，2004년수술학진위방광뇨로상피암。2013년6월인우하복종괴수술，술후병리제시종괴위방광제뇨관선암。고환자진단위방광암급방광제뇨관쌍원발암。결론：제뇨관암시래원우제뇨관잔존조직적소견악성상피종류，유우발생부위특수，조기진단곤난。방광부분절제술시주요적치료방법，병리분기시주요적예후인소。목전잉몰유공인적화료방법，예후교차。
Objective:To explore the diagnosis and treatment of urachal carcinoma. Methods:We reported a case of urachal carcinoma combined with papillary bladder cancer,and reviewed literature about the diagnosis and treat-ment of urachal carcinoma. Results:We present a case of a 72 - year - old man,who was diagnosed with papillary bladder cancer by operation in 2004. He was underwent complete surgical resection of right lower quadrant abdominal mass on June 2013. The postoperative pathology showed urachal carcinoma. So the patient was diagnosed with urachal carcinoma combined with papillary bladder cancer. Conclusion:Urachal carcinoma is a kind of rare malignant tumor, which is derived from the remnants of urachal epithelial tissues. Due to the occurrence of specific parts,early diagnosis is difficult,and partial cystectomy is the primary choice of treatment. Pathologic stage is the main prognostic factor of urachal carcinoma. There is still no generally accepted chemotherapy,and the prognosis of urachal carcinoma is poor.