Case Report

An Unusual Location for a Nonurachal Bladder Adenocarcinoma

Table 1

Comparison of urachal vs. nonurachal bladder adenocarcinoma presentation.

Urachal [3]Non-urachal [3, 5]

Origin of diseaseUrachal remnantBladder urothelium
Age5-6th decade of life6-7th decade of life
Location of diseaseBladder dome, anterior wallTrigone, posterior wall, but can arise throughout
Immunohistochemical stainingCK20, CDX2 (+/- CK7, B-catenin, HM cytokeratin)Variable based on histological phenotype
Possible symptomsUmbilical discharge/bleeding, hematuria, lower urinary tract symptomsHematuria, lower urinary tract symptoms