. MD, PhD. Professor of Urology at PUC-Pr. Interested in Uro-Oncology and prostate diseases. Basketball player and lover 
I think it is feasible in this case to perform partial en bloc cystectomy with uraco and umbilical and pelvic lymphadenectomy.Thus, it is possible to preserve the bladder and maintain similar cancer control.
Fem, 65 yrs, ECOG 0, rUTI.
US: 4 cm dome bladder tumor
Biopsy: Mucinous adenocarcinoma with moderate differentiation, corion invasion.
MRI: external iliac LN 15 mm. Next step? #UroSoMe #urosomebrasil #bladdercancerpic.twitter.com/tPpj8rFBkK
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My question is: all dome bladder adenoca origins from urachus?
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Not necessarily, there’s also primary adenocarcinoma with several growth pattern, like enteric, mucinous, eg. Then the classic urachal variation and dont forget, those secondary to colorectal, cervix, prostate or endometrium. Thats where the IHQ profile takes relevance
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Upfront radical cystectomy with pelvic lymphadenectomy & ileal neobladder
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