Abstract

Introduction: Urachal carcinomas are uncommon tumors occurring mostly at the junction of the urachal

ligament and bladder dome. Currently there is not an established consensus regarding the treatment of

urachal carcinomas. Although radical cystectomy is the treatment of choice, partial cystectomy is

recommended in suitable cases.

Materials and Method: A case of a localized urachal carcinoma at the bladder dome in a 28-year-old male

patient is described and patient’s clinical history, diagnostic imaging findings and treatment are presented and

discussed.

Results: Clinical, radiological findings and cystoscopy revealed an urachal carcinoma at the anterior wall

of the bladder and partial cystectomy was performed. Histopathologic diagnosis confirmed a well

differentiated, colonic type urachal adenocarcinoma with locally invasion to the bladder dome.

Conclusion: Although urachus carcinoma is rare, partial cystectomy can be offered as a conservative

surgical option in particularly young patients with localized and well-differentiated tumors.