PMC8595008_01
Cystoscopic examination showing a mucinous lesion at the bladder dome.
CRIU2021-6743515.001.jpg
PMC8595008_01_CRIU2021-6743515.001.jpg
fig1
Magnetic resonance imaging showing a lesion at the expense of the bladder wall.
CRIU2021-6743515.002.jpg
PMC8595008_01_CRIU2021-6743515.002.jpg
fig2
An abdominal and pelvic MRI (Figure 2) completed the evaluation of this tumor to exclude a possible ovarian or appendicular origin.
En bloc resection of bladder tumor with umbilicus.
CRIU2021-6743515.003.jpg
PMC8595008_01_CRIU2021-6743515.003.jpg
fig3
The approach chosen for the intervention was minimally invasive, and hence, a robotic-assisted partial cystectomy with en bloc resection of the umbilicus was successfully performed (Figure 3).
Focal conventional adenocarcinoma infiltrating perivesical fat.
CRIU2021-6743515.004.jpg
PMC8595008_01_CRIU2021-6743515.004.jpg
fig4
The operative piece measured 9 x 5 x 4.5 cm, and the final histology confirmed a mucinous adenocarcinoma of the urachus (Figures 4 and 5).
Predominant mucinous adenocarcinoma, with strands of glandular cells floating in abundant extracellular mucin.
CRIU2021-6743515.005.jpg
PMC8595008_01_CRIU2021-6743515.005.jpg
fig5
The operative piece measured 9 x 5 x 4.5 cm, and the final histology confirmed a mucinous adenocarcinoma of the urachus (Figures 4 and 5).