PDF(Pubmed)
Abstract：
BACKGROUND: A urachal mass is a relatively rare presentation to the urologists\' practice, often requiring radical surgical excision for a definitive diagnosis. Xanthogranulomatous inflammation of the urachus is an extremely rare entity with few cases reported worldwide, and to the best of our knowledge, no cases reported in the western world.
METHODS: In this case, a 55-year-old male patient presented with bothersome lower urinary tract symptoms and computed tomography findings demonstrating a urachal mass that was worrisome for urachal carcinoma. Following surgical intervention, histopathology revealed urachal xanthogranuloma. Post-operatively, the patient recovered well, and eventually, he had symptomatic and radiologic improvement.
CONCLUSIONS: This case brings awareness to a rare presentation of a urachal mass-urachal xanthogranuloma. While operative intervention was both diagnostic and therapeutic, we highlight the challenge in differentiating between benign and malignant processes for urachal masses. Herein, we show the importance of including urachal xanthogranuloma in the differential diagnosis of a urachal mass to prevent further morbidity associated with the treatment of this disease.
METHODS: In this case, a 55-year-old male patient presented with bothersome lower urinary tract symptoms and computed tomography findings demonstrating a urachal mass that was worrisome for urachal carcinoma. Following surgical intervention, histopathology revealed urachal xanthogranuloma. Post-operatively, the patient recovered well, and eventually, he had symptomatic and radiologic improvement.
CONCLUSIONS: This case brings awareness to a rare presentation of a urachal mass-urachal xanthogranuloma. While operative intervention was both diagnostic and therapeutic, we highlight the challenge in differentiating between benign and malignant processes for urachal masses. Herein, we show the importance of including urachal xanthogranuloma in the differential diagnosis of a urachal mass to prevent further morbidity associated with the treatment of this disease.
摘要：
背景：对于泌尿科医生来说，脐尿管肿块是一种相对罕见的表现，通常需要根治性手术切除才能明确诊断。脐带血黄色肉芽肿性炎症是一种极为罕见的实体，在世界范围内报道的病例很少。据我们所知,西方世界没有报告病例。
方法：在这种情况下，1例55岁男性患者出现令人困扰的下尿路症状和计算机断层扫描结果,提示脐尿管肿块,这对脐尿管癌令人担忧.手术干预后，组织病理学显示脐尿管黄色肉芽肿。术后,病人恢复得很好,最终，他的症状和放射学改善.
结论：此病例使人们意识到一种罕见的脐尿管肿块-脐尿管黄色肉芽肿。虽然手术干预既是诊断又是治疗，我们强调了区分脐尿管肿块的良性和恶性过程的挑战。在这里，我们显示了在脐尿管肿块的鉴别诊断中包括脐尿管黄色肉芽肿的重要性，以防止与该疾病的治疗相关的进一步发病率。
方法：在这种情况下，1例55岁男性患者出现令人困扰的下尿路症状和计算机断层扫描结果,提示脐尿管肿块,这对脐尿管癌令人担忧.手术干预后，组织病理学显示脐尿管黄色肉芽肿。术后,病人恢复得很好,最终，他的症状和放射学改善.
结论：此病例使人们意识到一种罕见的脐尿管肿块-脐尿管黄色肉芽肿。虽然手术干预既是诊断又是治疗，我们强调了区分脐尿管肿块的良性和恶性过程的挑战。在这里，我们显示了在脐尿管肿块的鉴别诊断中包括脐尿管黄色肉芽肿的重要性，以防止与该疾病的治疗相关的进一步发病率。
