Urachal Mucinous Cystic Tumor of Low Malignant Potential with Concurrent Sigmoid Colon Adenocarcinoma

Urachal mucinous tumors are rare neoplasms with behaviour that can range from relatively benign to malignancy that can spread distantly or throughout the peritoneum as pseudomyxoma peritonei or peritoneal carcinomatosis. Here we describe a unique case of urachal mucinous cystic tumor of low malignan...

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Main Authors: Kelly Brennan, Paul Johnson, Heather Curtis, Thomas Arnason
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Gastrointestinal Medicine
Online Access:http://dx.doi.org/10.1155/2019/1434838
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author Kelly Brennan
Paul Johnson
Heather Curtis
Thomas Arnason
author_facet Kelly Brennan
Paul Johnson
Heather Curtis
Thomas Arnason
author_sort Kelly Brennan
collection DOAJ
description Urachal mucinous tumors are rare neoplasms with behaviour that can range from relatively benign to malignancy that can spread distantly or throughout the peritoneum as pseudomyxoma peritonei or peritoneal carcinomatosis. Here we describe a unique case of urachal mucinous cystic tumor of low malignant potential 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 sigmoid colon adenocarcinoma. We believe that this case illustrates a potential diagnostic pitfall which could have prognostic and therapeutic implications. Due to the intestinal phenotype of these neoplasms, a urachal tumor of low malignant potential could be mistaken for metastatic spread from a colonic adenocarcinoma in the rare situation such as this case, where the two neoplasms occur concurrently.
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series Case Reports in Gastrointestinal Medicine
spelling doaj-art-03761c706de344ddbb98634f8ac4203a2025-02-03T01:04:52ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362019-01-01201910.1155/2019/14348381434838Urachal Mucinous Cystic Tumor of Low Malignant Potential with Concurrent Sigmoid Colon AdenocarcinomaKelly Brennan0Paul Johnson1Heather Curtis2Thomas Arnason3Faculty of Medicine, Dalhousie University, Halifax, Nova Scotia, CanadaDepartment of General Surgery, Dalhousie University, Halifax, Nova Scotia, CanadaDepartment of Radiology, Dalhousie University, Halifax, Nova Scotia, CanadaDepartment of Pathology, Dalhousie University, Halifax, Nova Scotia, CanadaUrachal mucinous tumors are rare neoplasms with behaviour that can range from relatively benign to malignancy that can spread distantly or throughout the peritoneum as pseudomyxoma peritonei or peritoneal carcinomatosis. Here we describe a unique case of urachal mucinous cystic tumor of low malignant potential 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 sigmoid colon adenocarcinoma. We believe that this case illustrates a potential diagnostic pitfall which could have prognostic and therapeutic implications. Due to the intestinal phenotype of these neoplasms, a urachal tumor of low malignant potential could be mistaken for metastatic spread from a colonic adenocarcinoma in the rare situation such as this case, where the two neoplasms occur concurrently.http://dx.doi.org/10.1155/2019/1434838
spellingShingle Kelly Brennan
Paul Johnson
Heather Curtis
Thomas Arnason
Urachal Mucinous Cystic Tumor of Low Malignant Potential with Concurrent Sigmoid Colon Adenocarcinoma
Case Reports in Gastrointestinal Medicine
title Urachal Mucinous Cystic Tumor of Low Malignant Potential with Concurrent Sigmoid Colon Adenocarcinoma
title_full Urachal Mucinous Cystic Tumor of Low Malignant Potential with Concurrent Sigmoid Colon Adenocarcinoma
title_fullStr Urachal Mucinous Cystic Tumor of Low Malignant Potential with Concurrent Sigmoid Colon Adenocarcinoma
title_full_unstemmed Urachal Mucinous Cystic Tumor of Low Malignant Potential with Concurrent Sigmoid Colon Adenocarcinoma
title_short Urachal Mucinous Cystic Tumor of Low Malignant Potential with Concurrent Sigmoid Colon Adenocarcinoma
title_sort urachal mucinous cystic tumor of low malignant potential with concurrent sigmoid colon adenocarcinoma
url http://dx.doi.org/10.1155/2019/1434838
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AT heathercurtis urachalmucinouscystictumoroflowmalignantpotentialwithconcurrentsigmoidcolonadenocarcinoma
AT thomasarnason urachalmucinouscystictumoroflowmalignantpotentialwithconcurrentsigmoidcolonadenocarcinoma