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脐尿管

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Most commonly adenocarcinoma of the bladder develops from a urachal remnant or in patients who were born with bladder exstrophy.

大部分膀胱腺癌常见于有脐尿管残迹患者或先天性膀胱外翻患者。

It is usually situated in the lower third of the urachus but can be seen just inferior to the umbilicus.

脐尿管囊肿见于脐和膀胱之间,通常位于脐尿管的下1/3 ,但也可见于仅位于脐下。

The most common locations for illous adenoma of urinary bladder are urachus, dome, and trigone. Rarely, it may inole ureter or urethra.

膀胱绒毛状腺瘤最常见于脐尿管、膀胱顶壁和三角区,偶尔也会累及输尿管或尿道。

Objective: To investigate CT appearance of urachal carcinoma.

目的:探讨膀胱脐尿管腺癌的CT表现。

Results Of these 18 cases, 15 were urachal carcinomas, while 3 were inflammatory masses.

结果脐尿管癌15例,脐尿管炎性病变3例。

Moreover, ultrasonography is ideally suitable for demonstrating urachal anomalies.

此外,当我们怀疑病患是脐尿管残迹病例时,超音波可以作为检查脐尿管异常的理想工具。

Surface urothelial involvement by carcinoma and presence of cystitis cystica/glandularis do not necessarily exclude the diagnosis of urachal carcinoma.

癌组织中混有膀胱表面的尿路上皮和囊性/腺性膀胱炎成分,都不能排除脐尿管癌的诊断。

Results Among of 6 cases of urachal anomalies,urachal fistula associated with infection 1 case,transitional cell carcinoma 1 case,urachal cyst 2 cases,urachal cyst associated with infection and adenocarcinoma 1 cases each.

结果 6例中1例脐尿管瘘伴感染,1例脐尿管移行细胞癌,2例脐尿管囊肿,1例脐尿管囊肿伴感染,1例脐尿管囊肿伴脐尿管腺癌。

Background: Urachal carcinomas occur mostly in the bladder dome, comprising 22% to 35% of vesical adenocarcinomas, and are generally treated by partial cystectomy with en bloc resection of the median umbilical ligament and umbilicus.

背景:脐尿管癌几乎只发生于膀胱顶部,占膀胱腺癌的22%至35%。临床治疗通常实施膀胱部分切除术及脐正中韧带和脐的整体切除术。

A rare case of reopening of the patent urachus with urine leakage encountered during pregnancy is reported.

脐尿管在妊娠期间重开放是非常罕见的状况。病人在怀孕27周时发现有尿液从肚脐流出,而流出的量跟随怀孕的周数而与日俱增,临床怀疑为脐尿管重开放。

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