脐尿管黄色肉芽肿（Urachal xanthogranuloma）：一种罕见但重要的脐尿管肿块病例。
Urachal xanthogranuloma: a rare but important case presenting as a urachal mass.
发表日期：2023 Aug 03
作者：
Kunal Jain, Esha Jain, Richard DiLena, Rola Saleeb, Umesh Jain
来源：
Best Pract Res Cl Ob
摘要：
尿囊肿块是泌尿外科医生罕见的病例，通常需要行激进手术切除以获得确诊。尿囊黄色肉芽肿炎是一种极为罕见的病变，在全球仅有少数病例报道，据我们所知，在西方世界尚未报告过该病例。本次病例是一名55岁的男性患者，表现为困扰性的下尿路症状，并且计算机断层扫描显示存在引起尿囊癌担忧的尿囊肿块。经过手术干预，组织病理学检查结果显示为尿囊黄色肉芽肿。术后患者恢复良好，并最终出现症状和影像学改善。该病例提醒人们对尿囊肿块-尿囊黄色肉芽肿这种罕见表现的注意。虽然手术干预在诊断和治疗上都是有效的，但我们强调尿囊肿块的良性和恶性病变在鉴别诊断方面的挑战。本文凸显了将尿囊黄色肉芽肿纳入尿囊肿块鉴别诊断的重要性，以预防与该疾病治疗相关的进一步发病率。© 2023. BioMed Central Ltd., part of Springer Nature.
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.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.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.© 2023. BioMed Central Ltd., part of Springer Nature.